{
"resourceType": "Bundle",
"type": "transaction",
"entry": [ {
"fullUrl": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"resource": {
"resourceType": "Patient",
"id": "b60cecd8-24c6-7983-3915-3bd6e8ede863",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated by <a href=\"https://github.com/synthetichealth/synthea\">Synthea</a>.Version identifier: 3c23908\n . Person seed: -2785739668941662347 Population seed: 1693908535569</div>"
},
"extension": [ {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
"extension": [ {
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
}, {
"url": "text",
"valueString": "White"
} ]
}, {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
"extension": [ {
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2186-5",
"display": "Not Hispanic or Latino"
}
}, {
"url": "text",
"valueString": "Not Hispanic or Latino"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
"valueString": "Marybeth994 Howe413"
}, {
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "M"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
"valueAddress": {
"city": "Boston",
"state": "Massachusetts",
"country": "US"
}
}, {
"url": "http://synthetichealth.github.io/synthea/disability-adjusted-life-years",
"valueDecimal": 0.2695458435053346
}, {
"url": "http://synthetichealth.github.io/synthea/quality-adjusted-life-years",
"valueDecimal": 25.730454156494666
} ],
"identifier": [ {
"system": "https://github.com/synthetichealth/synthea",
"value": "b60cecd8-24c6-7983-3915-3bd6e8ede863"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical Record Number"
} ],
"text": "Medical Record Number"
},
"system": "http://hospital.smarthealthit.org",
"value": "b60cecd8-24c6-7983-3915-3bd6e8ede863"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "SS",
"display": "Social Security Number"
} ],
"text": "Social Security Number"
},
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "999-37-4510"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "DL",
"display": "Driver's license number"
} ],
"text": "Driver's license number"
},
"system": "urn:oid:2.16.840.1.113883.4.3.25",
"value": "S99940387"
}, {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PPN",
"display": "Passport Number"
} ],
"text": "Passport Number"
},
"system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
"value": "X68520383X"
} ],
"name": [ {
"use": "official",
"family": "Pfeffer420",
"given": [ "Jimmie93", "Jeramy610" ],
"prefix": [ "Mr." ]
} ],
"telecom": [ {
"system": "phone",
"value": "555-605-2451",
"use": "home"
} ],
"gender": "male",
"birthDate": "1996-09-09",
"address": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/geolocation",
"extension": [ {
"url": "latitude",
"valueDecimal": 42.75724074428839
}, {
"url": "longitude",
"valueDecimal": -71.11410140856376
} ]
} ],
"line": [ "815 Hodkiewicz Well Apt 2" ],
"city": "Haverhill",
"state": "MA",
"postalCode": "01832",
"country": "US"
} ],
"maritalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code": "S",
"display": "Never Married"
} ],
"text": "Never Married"
},
"multipleBirthInteger": 1,
"communication": [ {
"language": {
"coding": [ {
"system": "urn:ietf:bcp:47",
"code": "en-US",
"display": "English (United States)"
} ],
"text": "English (United States)"
}
} ]
},
"request": {
"method": "POST",
"url": "Patient"
}
}, {
"fullUrl": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79",
"resource": {
"resourceType": "Encounter",
"id": "f83f62cd-6663-7626-664b-e11a7ad2ee79",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "f83f62cd-6663-7626-664b-e11a7ad2ee79"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:dd1a32f2-5e0a-bca8-0182-7cb4e4291b9f",
"resource": {
"resourceType": "Condition",
"id": "dd1a32f2-5e0a-bca8-0182-7cb4e4291b9f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
},
"onsetDateTime": "1996-09-09T01:23:18+02:00",
"abatementDateTime": "1997-02-17T00:23:18+01:00",
"recordedDate": "1996-09-09T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:77d758b3-aa20-00aa-06ce-db7360a8b315",
"resource": {
"resourceType": "DiagnosticReport",
"id": "77d758b3-aa20-00aa-06ce-db7360a8b315",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
},
"effectiveDateTime": "1996-09-09T01:23:18+02:00",
"issued": "1996-09-09T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjE5OTYtMDktMDkKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIG5ld2Jvcm4gbm9uaGlzcGFuaWMgd2hpdGUgbWFsZS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgoKUGF0aWVudCBjdXJyZW50bHkgaGFzIE1lZGljYWlkLgoKIyBBbGxlcmdpZXMKTm8gS25vd24gQWxsZXJnaWVzLgoKIyBNZWRpY2F0aW9ucwpObyBBY3RpdmUgTWVkaWNhdGlvbnMuCgojIEFzc2Vzc21lbnQgYW5kIFBsYW4KUGF0aWVudCBpcyBwcmVzZW50aW5nIHdpdGggbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLiAKCiMjIFBsYW4KCg=="
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:35e436d4-68b3-0f00-7b77-8b4c24c90cb4",
"resource": {
"resourceType": "DocumentReference",
"id": "35e436d4-68b3-0f00-7b77-8b4c24c90cb4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:77d758b3-aa20-00aa-06ce-db7360a8b315"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "1996-09-09T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
} ],
"period": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:4c13d00f-fe97-8f13-1695-f904be35e234",
"resource": {
"resourceType": "Claim",
"id": "4c13d00f-fe97-8f13-1695-f904be35e234",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
},
"created": "1996-09-09T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:dd1a32f2-5e0a-bca8-0182-7cb4e4291b9f"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 347.38,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:85ad8d62-328e-ef8d-1ee2-d4e414b2f79d",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "85ad8d62-328e-ef8d-1ee2-d4e414b2f79d",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "4c13d00f-fe97-8f13-1695-f904be35e234"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "1996-09-09T01:38:18+02:00",
"end": "1997-09-09T01:38:18+02:00"
},
"created": "1996-09-09T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:4c13d00f-fe97-8f13-1695-f904be35e234"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:dd1a32f2-5e0a-bca8-0182-7cb4e4291b9f"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "1996-09-09T01:23:18+02:00",
"end": "1996-09-09T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 347.38,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8",
"resource": {
"resourceType": "Encounter",
"id": "51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:f3df2b15-7a75-a62e-9557-ff30e719fd72",
"resource": {
"resourceType": "Condition",
"id": "f3df2b15-7a75-a62e-9557-ff30e719fd72",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
},
"onsetDateTime": "1997-05-19T01:23:18+02:00",
"abatementDateTime": "1997-05-19T01:23:18+02:00",
"recordedDate": "1997-05-19T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:dcfc9222-7da4-6612-9e5c-6d66d6d9ad8e",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dcfc9222-7da4-6612-9e5c-6d66d6d9ad8e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
},
"effectiveDateTime": "1997-05-19T01:23:18+02:00",
"issued": "1997-05-19T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjE5OTctMDUtMTkKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDggbW9udGgtb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuClBhdGllbnQgaXMgcHJlc2VudGluZyB3aXRoIG1lZGljYXRpb24gcmV2aWV3IGR1ZSAoc2l0dWF0aW9uKS4gCgojIyBQbGFuCgo="
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:09e7bb5e-9d68-ae8f-b423-99699c42d158",
"resource": {
"resourceType": "DocumentReference",
"id": "09e7bb5e-9d68-ae8f-b423-99699c42d158",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:dcfc9222-7da4-6612-9e5c-6d66d6d9ad8e"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "1997-05-19T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
} ],
"period": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9a667e65-9869-9918-cadb-cb68a338c1e9",
"resource": {
"resourceType": "Claim",
"id": "9a667e65-9869-9918-cadb-cb68a338c1e9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
},
"created": "1997-05-19T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f3df2b15-7a75-a62e-9557-ff30e719fd72"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 1155.54,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d26db98f-d795-527c-36a6-d8b242245692",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d26db98f-d795-527c-36a6-d8b242245692",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9a667e65-9869-9918-cadb-cb68a338c1e9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "1997-05-19T01:38:18+02:00",
"end": "1998-05-19T01:38:18+02:00"
},
"created": "1997-05-19T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:9a667e65-9869-9918-cadb-cb68a338c1e9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f3df2b15-7a75-a62e-9557-ff30e719fd72"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "1997-05-19T01:23:18+02:00",
"end": "1997-05-19T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1155.54,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6",
"resource": {
"resourceType": "Encounter",
"id": "348dcd18-1d78-2aac-91a7-a41a0f61ede6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "348dcd18-1d78-2aac-91a7-a41a0f61ede6"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:32a28961-76ce-7570-705a-fce688e21370",
"resource": {
"resourceType": "Condition",
"id": "32a28961-76ce-7570-705a-fce688e21370",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
},
"onsetDateTime": "1997-08-18T01:23:18+02:00",
"abatementDateTime": "1998-02-16T00:23:18+01:00",
"recordedDate": "1997-08-18T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:9df4d3d8-140a-878f-0883-cb5ad3c11032",
"resource": {
"resourceType": "DiagnosticReport",
"id": "9df4d3d8-140a-878f-0883-cb5ad3c11032",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
},
"effectiveDateTime": "1997-08-18T01:23:18+02:00",
"issued": "1997-08-18T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0371e827-044c-ae12-b7b7-7b7b7c08c40f",
"resource": {
"resourceType": "DocumentReference",
"id": "0371e827-044c-ae12-b7b7-7b7b7c08c40f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:9df4d3d8-140a-878f-0883-cb5ad3c11032"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "1997-08-18T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
} ],
"period": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:4e409f3f-e006-70ad-24ca-7dc33cdd8565",
"resource": {
"resourceType": "Claim",
"id": "4e409f3f-e006-70ad-24ca-7dc33cdd8565",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
},
"created": "1997-08-18T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:32a28961-76ce-7570-705a-fce688e21370"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d56bfdeb-d210-513e-f374-63489aceb613",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d56bfdeb-d210-513e-f374-63489aceb613",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "4e409f3f-e006-70ad-24ca-7dc33cdd8565"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "1997-08-18T01:38:18+02:00",
"end": "1998-08-18T01:38:18+02:00"
},
"created": "1997-08-18T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:4e409f3f-e006-70ad-24ca-7dc33cdd8565"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:32a28961-76ce-7570-705a-fce688e21370"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "1997-08-18T01:23:18+02:00",
"end": "1997-08-18T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad",
"resource": {
"resourceType": "Encounter",
"id": "df140519-394b-9e8e-0ac9-a821ff6de8ad",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "df140519-394b-9e8e-0ac9-a821ff6de8ad"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:f7b54f03-2cf0-333f-16fa-84510ab821a8",
"resource": {
"resourceType": "Condition",
"id": "f7b54f03-2cf0-333f-16fa-84510ab821a8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
},
"onsetDateTime": "1998-08-17T01:23:18+02:00",
"abatementDateTime": "1999-02-15T00:23:18+01:00",
"recordedDate": "1998-08-17T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:e2838c5a-70f8-ee8e-8cbf-6a656fd31158",
"resource": {
"resourceType": "DiagnosticReport",
"id": "e2838c5a-70f8-ee8e-8cbf-6a656fd31158",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
},
"effectiveDateTime": "1998-08-17T01:23:18+02:00",
"issued": "1998-08-17T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:844ccd58-ab2c-894e-5563-1aaa8a1ce145",
"resource": {
"resourceType": "DocumentReference",
"id": "844ccd58-ab2c-894e-5563-1aaa8a1ce145",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:e2838c5a-70f8-ee8e-8cbf-6a656fd31158"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "1998-08-17T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
} ],
"period": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:6652ad57-c911-2f8d-e2c7-6cb2f3d3c5cc",
"resource": {
"resourceType": "Claim",
"id": "6652ad57-c911-2f8d-e2c7-6cb2f3d3c5cc",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
},
"created": "1998-08-17T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f7b54f03-2cf0-333f-16fa-84510ab821a8"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7497da7e-f1b0-2cd8-0f3b-9ba8e77484a5",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7497da7e-f1b0-2cd8-0f3b-9ba8e77484a5",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6652ad57-c911-2f8d-e2c7-6cb2f3d3c5cc"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "1998-08-17T01:38:18+02:00",
"end": "1999-08-17T01:38:18+02:00"
},
"created": "1998-08-17T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:6652ad57-c911-2f8d-e2c7-6cb2f3d3c5cc"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f7b54f03-2cf0-333f-16fa-84510ab821a8"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "1998-08-17T01:23:18+02:00",
"end": "1998-08-17T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2",
"resource": {
"resourceType": "Encounter",
"id": "13ecfa21-7b4c-8c84-5565-529f7a5304e2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "13ecfa21-7b4c-8c84-5565-529f7a5304e2"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:eade1ed2-0bc9-93ba-809f-7b355681cb8f",
"resource": {
"resourceType": "Condition",
"id": "eade1ed2-0bc9-93ba-809f-7b355681cb8f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
},
"onsetDateTime": "1999-08-16T01:23:18+02:00",
"abatementDateTime": "1999-08-16T01:23:18+02:00",
"recordedDate": "1999-08-16T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:48c190b6-a979-fddd-9d39-4ccca72e4370",
"resource": {
"resourceType": "DiagnosticReport",
"id": "48c190b6-a979-fddd-9d39-4ccca72e4370",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
},
"effectiveDateTime": "1999-08-16T01:23:18+02:00",
"issued": "1999-08-16T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:499ca2d2-72d9-20d9-ebc9-3d7630b9d0c6",
"resource": {
"resourceType": "DocumentReference",
"id": "499ca2d2-72d9-20d9-ebc9-3d7630b9d0c6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:48c190b6-a979-fddd-9d39-4ccca72e4370"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "1999-08-16T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
} ],
"period": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:b2689253-24f1-d7bb-d10d-62622e21461c",
"resource": {
"resourceType": "Claim",
"id": "b2689253-24f1-d7bb-d10d-62622e21461c",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
},
"created": "1999-08-16T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:eade1ed2-0bc9-93ba-809f-7b355681cb8f"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 862.85,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:adf5b766-1405-ae9d-a01c-605665d5aa83",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "adf5b766-1405-ae9d-a01c-605665d5aa83",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "b2689253-24f1-d7bb-d10d-62622e21461c"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "1999-08-16T01:38:18+02:00",
"end": "2000-08-16T01:38:18+02:00"
},
"created": "1999-08-16T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:b2689253-24f1-d7bb-d10d-62622e21461c"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:eade1ed2-0bc9-93ba-809f-7b355681cb8f"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "1999-08-16T01:23:18+02:00",
"end": "1999-08-16T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 862.85,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63",
"resource": {
"resourceType": "Encounter",
"id": "52e3e2e9-5ed2-69fe-225f-5a82b0728f63",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:c04b11b1-eec5-c051-7d02-b1ba317e89df",
"resource": {
"resourceType": "Condition",
"id": "c04b11b1-eec5-c051-7d02-b1ba317e89df",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
},
"onsetDateTime": "2000-02-14T00:23:18+01:00",
"abatementDateTime": "2000-02-14T00:23:18+01:00",
"recordedDate": "2000-02-14T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:18460110-d950-89da-074b-807deab55ef8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "18460110-d950-89da-074b-807deab55ef8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
},
"effectiveDateTime": "2000-02-14T00:23:18+01:00",
"issued": "2000-02-14T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:dd09f7f4-0aeb-e535-03b2-e76c36e74dc0",
"resource": {
"resourceType": "DocumentReference",
"id": "dd09f7f4-0aeb-e535-03b2-e76c36e74dc0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:18460110-d950-89da-074b-807deab55ef8"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2000-02-14T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMDAtMDItMTQKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDMgeWVhci1vbGQgbm9uaGlzcGFuaWMgd2hpdGUgbWFsZS4gUGF0aWVudCBoYXMgYSBoaXN0b3J5IG9mIG1lZGljYXRpb24gcmV2aWV3IGR1ZSAoc2l0dWF0aW9uKS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgoKUGF0aWVudCBjdXJyZW50bHkgaGFzIE1lZGljYWlkLgoKIyBBbGxlcmdpZXMKTm8gS25vd24gQWxsZXJnaWVzLgoKIyBNZWRpY2F0aW9ucwpObyBBY3RpdmUgTWVkaWNhdGlvbnMuCgojIEFzc2Vzc21lbnQgYW5kIFBsYW4KUGF0aWVudCBpcyBwcmVzZW50aW5nIHdpdGggbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLiAKCiMjIFBsYW4KCg=="
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
} ],
"period": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:1507a18a-210a-eb77-e344-3b9e4d394bfa",
"resource": {
"resourceType": "Claim",
"id": "1507a18a-210a-eb77-e344-3b9e4d394bfa",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
},
"created": "2000-02-14T00:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c04b11b1-eec5-c051-7d02-b1ba317e89df"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 893.54,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ebee3cde-a33d-8460-6e8a-232bf51e2f53",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ebee3cde-a33d-8460-6e8a-232bf51e2f53",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1507a18a-210a-eb77-e344-3b9e4d394bfa"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2000-02-14T00:38:18+01:00",
"end": "2001-02-14T00:38:18+01:00"
},
"created": "2000-02-14T00:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:1507a18a-210a-eb77-e344-3b9e4d394bfa"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c04b11b1-eec5-c051-7d02-b1ba317e89df"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2000-02-14T00:23:18+01:00",
"end": "2000-02-14T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 893.54,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4",
"resource": {
"resourceType": "Encounter",
"id": "16d81b2f-744f-0e98-422f-4e49ea7185b4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "16d81b2f-744f-0e98-422f-4e49ea7185b4"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:964acb99-bfaa-a48e-5eab-4a12a56cb2c0",
"resource": {
"resourceType": "Condition",
"id": "964acb99-bfaa-a48e-5eab-4a12a56cb2c0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
},
"onsetDateTime": "2000-05-01T01:23:18+02:00",
"abatementDateTime": "2000-05-01T01:23:18+02:00",
"recordedDate": "2000-05-01T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:538123ad-12d6-fceb-fc70-9bd90e3f8711",
"resource": {
"resourceType": "DiagnosticReport",
"id": "538123ad-12d6-fceb-fc70-9bd90e3f8711",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
},
"effectiveDateTime": "2000-05-01T01:23:18+02:00",
"issued": "2000-05-01T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMDAtMDUtMDEKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDMgeWVhci1vbGQgbm9uaGlzcGFuaWMgd2hpdGUgbWFsZS4gUGF0aWVudCBoYXMgYSBoaXN0b3J5IG9mIG1lZGljYXRpb24gcmV2aWV3IGR1ZSAoc2l0dWF0aW9uKS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgoKUGF0aWVudCBjdXJyZW50bHkgaGFzIE1lZGljYWlkLgoKIyBBbGxlcmdpZXMKTm8gS25vd24gQWxsZXJnaWVzLgoKIyBNZWRpY2F0aW9ucwpObyBBY3RpdmUgTWVkaWNhdGlvbnMuCgojIEFzc2Vzc21lbnQgYW5kIFBsYW4KUGF0aWVudCBpcyBwcmVzZW50aW5nIHdpdGggbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLiAKCiMjIFBsYW4KCg=="
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:ab3d4885-02ac-3fb1-ef96-7dcc7e6d9f8c",
"resource": {
"resourceType": "DocumentReference",
"id": "ab3d4885-02ac-3fb1-ef96-7dcc7e6d9f8c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:538123ad-12d6-fceb-fc70-9bd90e3f8711"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2000-05-01T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
} ],
"period": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:6b453621-6058-1bec-b11f-cecfc0ba8565",
"resource": {
"resourceType": "Claim",
"id": "6b453621-6058-1bec-b11f-cecfc0ba8565",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
},
"created": "2000-05-01T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:964acb99-bfaa-a48e-5eab-4a12a56cb2c0"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 526.70,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:4ad1c5bd-8d92-6b25-c79b-6ff9a353dde3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "4ad1c5bd-8d92-6b25-c79b-6ff9a353dde3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6b453621-6058-1bec-b11f-cecfc0ba8565"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2000-05-01T01:38:18+02:00",
"end": "2001-05-01T01:38:18+02:00"
},
"created": "2000-05-01T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:6b453621-6058-1bec-b11f-cecfc0ba8565"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:964acb99-bfaa-a48e-5eab-4a12a56cb2c0"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2000-05-01T01:23:18+02:00",
"end": "2000-05-01T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 526.70,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5",
"resource": {
"resourceType": "Encounter",
"id": "083468a2-46f6-27a8-0ece-306e121bc4a5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "083468a2-46f6-27a8-0ece-306e121bc4a5"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:b3e9223b-58e4-7c14-10fe-882dcb83effe",
"resource": {
"resourceType": "Condition",
"id": "b3e9223b-58e4-7c14-10fe-882dcb83effe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
},
"onsetDateTime": "2000-08-14T01:23:18+02:00",
"abatementDateTime": "2002-08-26T01:23:18+02:00",
"recordedDate": "2000-08-14T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:22b3f998-ce50-d337-5e92-0497a8739ce1",
"resource": {
"resourceType": "DiagnosticReport",
"id": "22b3f998-ce50-d337-5e92-0497a8739ce1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
},
"effectiveDateTime": "2000-08-14T01:23:18+02:00",
"issued": "2000-08-14T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:5aeaaea6-7f82-8d2f-7138-00856fda8400",
"resource": {
"resourceType": "DocumentReference",
"id": "5aeaaea6-7f82-8d2f-7138-00856fda8400",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:22b3f998-ce50-d337-5e92-0497a8739ce1"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2000-08-14T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
} ],
"period": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:8e98d3d1-e8c4-e68c-3455-ac66b0bc478b",
"resource": {
"resourceType": "Claim",
"id": "8e98d3d1-e8c4-e68c-3455-ac66b0bc478b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
},
"created": "2000-08-14T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:b3e9223b-58e4-7c14-10fe-882dcb83effe"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 136.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d6acbaff-4d81-fad5-288d-6d445aede123",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d6acbaff-4d81-fad5-288d-6d445aede123",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "8e98d3d1-e8c4-e68c-3455-ac66b0bc478b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2000-08-14T01:38:18+02:00",
"end": "2001-08-14T01:38:18+02:00"
},
"created": "2000-08-14T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:8e98d3d1-e8c4-e68c-3455-ac66b0bc478b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:b3e9223b-58e4-7c14-10fe-882dcb83effe"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2000-08-14T01:23:18+02:00",
"end": "2000-08-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 136.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6",
"resource": {
"resourceType": "Encounter",
"id": "ff8b1019-612f-2078-1ef3-46004a1d17d6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "ff8b1019-612f-2078-1ef3-46004a1d17d6"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:63c3bb08-cc8a-fa3c-2662-5889d5791ff5",
"resource": {
"resourceType": "Condition",
"id": "63c3bb08-cc8a-fa3c-2662-5889d5791ff5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
},
"onsetDateTime": "2003-09-01T01:23:18+02:00",
"abatementDateTime": "2003-09-01T01:23:18+02:00",
"recordedDate": "2003-09-01T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:e48932d6-f2d0-de9c-c294-31b1159a88d8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "e48932d6-f2d0-de9c-c294-31b1159a88d8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
},
"effectiveDateTime": "2003-09-01T01:23:18+02:00",
"issued": "2003-09-01T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:b936ccb7-ff5d-746c-0688-aba857544583",
"resource": {
"resourceType": "DocumentReference",
"id": "b936ccb7-ff5d-746c-0688-aba857544583",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:e48932d6-f2d0-de9c-c294-31b1159a88d8"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2003-09-01T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
} ],
"period": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:a3930951-d646-92cc-1285-297e73def853",
"resource": {
"resourceType": "Claim",
"id": "a3930951-d646-92cc-1285-297e73def853",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
},
"created": "2003-09-01T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:63c3bb08-cc8a-fa3c-2662-5889d5791ff5"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 799.02,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:2869cf60-5b7a-8e8f-d2a5-eb41eea70b58",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "2869cf60-5b7a-8e8f-d2a5-eb41eea70b58",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a3930951-d646-92cc-1285-297e73def853"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2003-09-01T01:38:18+02:00",
"end": "2004-09-01T01:38:18+02:00"
},
"created": "2003-09-01T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:a3930951-d646-92cc-1285-297e73def853"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:63c3bb08-cc8a-fa3c-2662-5889d5791ff5"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2003-09-01T01:23:18+02:00",
"end": "2003-09-01T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 799.02,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75",
"resource": {
"resourceType": "Encounter",
"id": "2f5d5897-3f30-868d-bea9-e9935e106d75",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "2f5d5897-3f30-868d-bea9-e9935e106d75"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:d100ca09-f1b7-10a6-cc04-2dd81d4fb31f",
"resource": {
"resourceType": "Condition",
"id": "d100ca09-f1b7-10a6-cc04-2dd81d4fb31f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
},
"onsetDateTime": "2004-09-06T01:23:18+02:00",
"abatementDateTime": "2007-09-24T01:23:18+02:00",
"recordedDate": "2004-09-06T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:2c3df7ca-b943-3ced-d52d-6ff6b4abc713",
"resource": {
"resourceType": "DiagnosticReport",
"id": "2c3df7ca-b943-3ced-d52d-6ff6b4abc713",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
},
"effectiveDateTime": "2004-09-06T01:23:18+02:00",
"issued": "2004-09-06T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0d3d2d39-509d-2ce5-5196-6280cc5e8cc0",
"resource": {
"resourceType": "DocumentReference",
"id": "0d3d2d39-509d-2ce5-5196-6280cc5e8cc0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:2c3df7ca-b943-3ced-d52d-6ff6b4abc713"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2004-09-06T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
} ],
"period": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:6d67f7e9-3ed8-e59c-0e38-f1cda77198d9",
"resource": {
"resourceType": "Claim",
"id": "6d67f7e9-3ed8-e59c-0e38-f1cda77198d9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
},
"created": "2004-09-06T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:d100ca09-f1b7-10a6-cc04-2dd81d4fb31f"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 272.80,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:983e8eb4-102c-f8b4-3c00-6aa7a044c54f",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "983e8eb4-102c-f8b4-3c00-6aa7a044c54f",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6d67f7e9-3ed8-e59c-0e38-f1cda77198d9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2004-09-06T01:38:18+02:00",
"end": "2005-09-06T01:38:18+02:00"
},
"created": "2004-09-06T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:6d67f7e9-3ed8-e59c-0e38-f1cda77198d9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:d100ca09-f1b7-10a6-cc04-2dd81d4fb31f"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2004-09-06T01:23:18+02:00",
"end": "2004-09-06T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 272.80,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099",
"resource": {
"resourceType": "Encounter",
"id": "083d2ede-a8a7-e3a5-9c09-240e491f4099",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "083d2ede-a8a7-e3a5-9c09-240e491f4099"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:dd22cf07-e554-e0cf-58d2-7e17901f6860",
"resource": {
"resourceType": "Condition",
"id": "dd22cf07-e554-e0cf-58d2-7e17901f6860",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
},
"onsetDateTime": "2008-09-29T01:23:18+02:00",
"abatementDateTime": "2008-09-29T01:23:18+02:00",
"recordedDate": "2008-09-29T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:6cf939e7-258d-6fdf-f71f-e2d69db96b47",
"resource": {
"resourceType": "DiagnosticReport",
"id": "6cf939e7-258d-6fdf-f71f-e2d69db96b47",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
},
"effectiveDateTime": "2008-09-29T01:23:18+02:00",
"issued": "2008-09-29T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:4299eebc-fde4-158b-a275-3316332b914c",
"resource": {
"resourceType": "DocumentReference",
"id": "4299eebc-fde4-158b-a275-3316332b914c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:6cf939e7-258d-6fdf-f71f-e2d69db96b47"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2008-09-29T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
} ],
"period": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:0c0bf466-0ad3-d6b2-de96-05d76a5cd156",
"resource": {
"resourceType": "Claim",
"id": "0c0bf466-0ad3-d6b2-de96-05d76a5cd156",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
},
"created": "2008-09-29T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:dd22cf07-e554-e0cf-58d2-7e17901f6860"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 1348.37,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:55d55f58-7d68-7c2e-b2da-b725180c3e81",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "55d55f58-7d68-7c2e-b2da-b725180c3e81",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "0c0bf466-0ad3-d6b2-de96-05d76a5cd156"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2008-09-29T01:38:18+02:00",
"end": "2009-09-29T01:38:18+02:00"
},
"created": "2008-09-29T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:0c0bf466-0ad3-d6b2-de96-05d76a5cd156"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:dd22cf07-e554-e0cf-58d2-7e17901f6860"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2008-09-29T01:23:18+02:00",
"end": "2008-09-29T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1348.37,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b",
"resource": {
"resourceType": "Encounter",
"id": "b471890b-48a6-956e-548b-651b4722d35b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "b471890b-48a6-956e-548b-651b4722d35b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:91c1af0c-0c33-de66-af07-387f2cf3eb5e",
"resource": {
"resourceType": "Condition",
"id": "91c1af0c-0c33-de66-af07-387f2cf3eb5e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
},
"onsetDateTime": "2009-10-05T01:23:18+02:00",
"abatementDateTime": "2009-10-05T01:23:18+02:00",
"recordedDate": "2009-10-05T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:01453369-fc7f-27c8-459e-68b1784087a3",
"resource": {
"resourceType": "DiagnosticReport",
"id": "01453369-fc7f-27c8-459e-68b1784087a3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
},
"effectiveDateTime": "2009-10-05T01:23:18+02:00",
"issued": "2009-10-05T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:eff717a4-948e-bf17-faf5-f1c75e38faf5",
"resource": {
"resourceType": "DocumentReference",
"id": "eff717a4-948e-bf17-faf5-f1c75e38faf5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:01453369-fc7f-27c8-459e-68b1784087a3"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2009-10-05T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
} ],
"period": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:b8c429b1-a8b6-d848-d56d-8bc50b1a9a9b",
"resource": {
"resourceType": "Claim",
"id": "b8c429b1-a8b6-d848-d56d-8bc50b1a9a9b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
},
"created": "2009-10-05T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:91c1af0c-0c33-de66-af07-387f2cf3eb5e"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 1375.83,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:cfb379f3-b09f-be8e-79ef-a10726ca3b58",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "cfb379f3-b09f-be8e-79ef-a10726ca3b58",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "b8c429b1-a8b6-d848-d56d-8bc50b1a9a9b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2009-10-05T01:38:18+02:00",
"end": "2010-10-05T01:38:18+02:00"
},
"created": "2009-10-05T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:b8c429b1-a8b6-d848-d56d-8bc50b1a9a9b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:91c1af0c-0c33-de66-af07-387f2cf3eb5e"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2009-10-05T01:23:18+02:00",
"end": "2009-10-05T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1375.83,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c",
"resource": {
"resourceType": "Encounter",
"id": "efb1cf6d-67c1-ee81-d7b9-1785026bbf9c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:8fe74d0f-5350-4ec3-09ff-1b8617a74948",
"resource": {
"resourceType": "Condition",
"id": "8fe74d0f-5350-4ec3-09ff-1b8617a74948",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
},
"onsetDateTime": "2010-10-11T01:23:18+02:00",
"abatementDateTime": "2011-10-17T01:23:18+02:00",
"recordedDate": "2010-10-11T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:b99a65b5-0151-a962-3c5a-1c3db3bc385a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b99a65b5-0151-a962-3c5a-1c3db3bc385a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
},
"effectiveDateTime": "2010-10-11T01:23:18+02:00",
"issued": "2010-10-11T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:cdd8c6ba-44dc-dddd-2250-82d042912371",
"resource": {
"resourceType": "DocumentReference",
"id": "cdd8c6ba-44dc-dddd-2250-82d042912371",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b99a65b5-0151-a962-3c5a-1c3db3bc385a"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2010-10-11T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
} ],
"period": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:fb831b32-8206-5661-a0dd-3c13294fad8a",
"resource": {
"resourceType": "Claim",
"id": "fb831b32-8206-5661-a0dd-3c13294fad8a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
},
"created": "2010-10-11T01:43:13+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:8fe74d0f-5350-4ec3-09ff-1b8617a74948"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 704.20,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d9d45522-05e1-465a-2bb6-8d20ff749ad3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d9d45522-05e1-465a-2bb6-8d20ff749ad3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "fb831b32-8206-5661-a0dd-3c13294fad8a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2010-10-11T01:43:13+02:00",
"end": "2011-10-11T01:43:13+02:00"
},
"created": "2010-10-11T01:43:13+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:fb831b32-8206-5661-a0dd-3c13294fad8a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:8fe74d0f-5350-4ec3-09ff-1b8617a74948"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2010-10-11T01:23:18+02:00",
"end": "2010-10-11T01:43:13+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 704.20,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2",
"resource": {
"resourceType": "Encounter",
"id": "c56b4153-c032-56a1-d4db-ca1f648763e2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "c56b4153-c032-56a1-d4db-ca1f648763e2"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:d16d5e7a-79c8-e90a-8b7c-bfb3bc4e451a",
"resource": {
"resourceType": "Condition",
"id": "d16d5e7a-79c8-e90a-8b7c-bfb3bc4e451a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
},
"onsetDateTime": "2012-10-22T01:23:18+02:00",
"abatementDateTime": "2012-10-22T01:23:18+02:00",
"recordedDate": "2012-10-22T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:183276cf-e8d2-a9f6-170c-9999930e8801",
"resource": {
"resourceType": "DiagnosticReport",
"id": "183276cf-e8d2-a9f6-170c-9999930e8801",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
},
"effectiveDateTime": "2012-10-22T01:23:18+02:00",
"issued": "2012-10-22T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:1b076688-508a-c8c2-f9f7-be7f21a11613",
"resource": {
"resourceType": "DocumentReference",
"id": "1b076688-508a-c8c2-f9f7-be7f21a11613",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:183276cf-e8d2-a9f6-170c-9999930e8801"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2012-10-22T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
} ],
"period": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:53dcbc94-be07-8974-fea5-5b86e32184f5",
"resource": {
"resourceType": "Claim",
"id": "53dcbc94-be07-8974-fea5-5b86e32184f5",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
},
"created": "2012-10-22T01:40:29+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:d16d5e7a-79c8-e90a-8b7c-bfb3bc4e451a"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 1349.09,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:5940bce0-ce4c-37fb-968c-a32e202d9d5e",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "5940bce0-ce4c-37fb-968c-a32e202d9d5e",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "53dcbc94-be07-8974-fea5-5b86e32184f5"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2012-10-22T01:40:29+02:00",
"end": "2013-10-22T01:40:29+02:00"
},
"created": "2012-10-22T01:40:29+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:53dcbc94-be07-8974-fea5-5b86e32184f5"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:d16d5e7a-79c8-e90a-8b7c-bfb3bc4e451a"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2012-10-22T01:23:18+02:00",
"end": "2012-10-22T01:40:29+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1349.09,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c",
"resource": {
"resourceType": "Encounter",
"id": "4c9732be-9870-eb9a-ebbd-7b4cc579de0c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:159638ef-95af-4cff-1bfd-2e2717977258",
"resource": {
"resourceType": "Condition",
"id": "159638ef-95af-4cff-1bfd-2e2717977258",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"onsetDateTime": "2013-10-28T00:23:18+01:00",
"abatementDateTime": "2013-10-28T00:23:18+01:00",
"recordedDate": "2013-10-28T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:666783f1-e385-a97a-32d5-8bd486b43892",
"resource": {
"resourceType": "Condition",
"id": "666783f1-e385-a97a-32d5-8bd486b43892",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160968000",
"display": "Risk activity involvement (finding)"
} ],
"text": "Risk activity involvement (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"onsetDateTime": "2013-10-28T02:07:05+01:00",
"abatementDateTime": "2014-02-03T01:27:01+01:00",
"recordedDate": "2013-10-28T02:07:05+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:ad49cce4-5d94-d3bd-aa3f-c5e993df2a30",
"resource": {
"resourceType": "Observation",
"id": "ad49cce4-5d94-d3bd-aa3f-c5e993df2a30",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 181.5,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:625f7e18-93cb-405a-01cd-b86e13d049e5",
"resource": {
"resourceType": "Observation",
"id": "625f7e18-93cb-405a-01cd-b86e13d049e5",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bf0225ac-4bf3-514f-9adc-480037b8af9a",
"resource": {
"resourceType": "Observation",
"id": "bf0225ac-4bf3-514f-9adc-480037b8af9a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 74.1,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cb4c33b1-f812-227a-65cc-7ae118ca3cfc",
"resource": {
"resourceType": "Observation",
"id": "cb4c33b1-f812-227a-65cc-7ae118ca3cfc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 22.51,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:617531b9-2ba7-f9ac-c32e-b642d3473e49",
"resource": {
"resourceType": "Observation",
"id": "617531b9-2ba7-f9ac-c32e-b642d3473e49",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 65.376,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e7173c22-ac11-f9a4-324f-0ee4ee4d9e5f",
"resource": {
"resourceType": "Observation",
"id": "e7173c22-ac11-f9a4-324f-0ee4ee4d9e5f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 83,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 124,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d7f1aba5-2a84-7387-73ed-0c8c592e2860",
"resource": {
"resourceType": "Observation",
"id": "d7f1aba5-2a84-7387-73ed-0c8c592e2860",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 82,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:df687826-a356-559b-ebbf-1b9dd7e5257f",
"resource": {
"resourceType": "Observation",
"id": "df687826-a356-559b-ebbf-1b9dd7e5257f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueQuantity": {
"value": 12,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:72653b91-f992-8f5f-1a88-650dfd2c57f2",
"resource": {
"resourceType": "Observation",
"id": "72653b91-f992-8f5f-1a88-650dfd2c57f2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8c430d6f-6cfc-e40e-f616-1cae8a7e809c",
"resource": {
"resourceType": "Observation",
"id": "8c430d6f-6cfc-e40e-f616-1cae8a7e809c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:45:50+01:00",
"issued": "2013-10-28T00:45:50.760+01:00",
"valueQuantity": {
"value": 5,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2c0a0cda-4750-5462-679e-9534aeb480fc",
"resource": {
"resourceType": "Observation",
"id": "2c0a0cda-4750-5462-679e-9534aeb480fc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89204-2",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T01:28:31+01:00",
"issued": "2013-10-28T01:28:31.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e1409fba-5deb-cef6-70e2-9c8c8e8b2a27",
"resource": {
"resourceType": "Procedure",
"id": "e1409fba-5deb-cef6-70e2-9c8c8e8b2a27",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d0efb67e-2d05-649c-dbdc-ef38a2259059",
"resource": {
"resourceType": "Procedure",
"id": "d0efb67e-2d05-649c-dbdc-ef38a2259059",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9cad3f1e-9b5b-2e9d-e69d-524ac14f70bb",
"resource": {
"resourceType": "Procedure",
"id": "9cad3f1e-9b5b-2e9d-e69d-524ac14f70bb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T00:45:50+01:00",
"end": "2013-10-28T01:00:32+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fb7cb2ac-6242-b191-a09e-6e8e105dfecb",
"resource": {
"resourceType": "Procedure",
"id": "fb7cb2ac-6242-b191-a09e-6e8e105dfecb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T01:00:32+01:00",
"end": "2013-10-28T01:28:31+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d5177b3d-724c-1f09-7cac-11b0b9e66b8c",
"resource": {
"resourceType": "Procedure",
"id": "d5177b3d-724c-1f09-7cac-11b0b9e66b8c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T01:28:31+01:00",
"end": "2013-10-28T01:39:27+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fe48bbfa-b377-ca2f-eb24-c71f5550316e",
"resource": {
"resourceType": "Procedure",
"id": "fe48bbfa-b377-ca2f-eb24-c71f5550316e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T01:39:27+01:00",
"end": "2013-10-28T02:07:05+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:edc79a1a-5750-8c87-9d32-29b83b1aa5f9",
"resource": {
"resourceType": "Procedure",
"id": "edc79a1a-5750-8c87-9d32-29b83b1aa5f9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370995009",
"display": "Health risks education (procedure)"
} ],
"text": "Health risks education (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"performedPeriod": {
"start": "2013-10-28T02:07:05+01:00",
"end": "2013-10-28T02:26:48+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"reasonReference": [ {
"reference": "urn:uuid:666783f1-e385-a97a-32d5-8bd486b43892",
"display": "Risk activity involvement (finding)"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9ccc854e-c661-dee1-42a8-01e813e2671b",
"resource": {
"resourceType": "Immunization",
"id": "9ccc854e-c661-dee1-42a8-01e813e2671b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"occurrenceDateTime": "2013-10-28T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:6fa6d975-d2cc-f00e-1676-d0677162166e",
"resource": {
"resourceType": "DiagnosticReport",
"id": "6fa6d975-d2cc-f00e-1676-d0677162166e",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:45:50+01:00",
"issued": "2013-10-28T00:45:50.760+01:00",
"result": [ {
"reference": "urn:uuid:8c430d6f-6cfc-e40e-f616-1cae8a7e809c",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:5cd219c7-5d99-c527-1571-09b7ebbb7b90",
"resource": {
"resourceType": "DiagnosticReport",
"id": "5cd219c7-5d99-c527-1571-09b7ebbb7b90",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T01:28:31+01:00",
"issued": "2013-10-28T01:28:31.760+01:00",
"result": [ {
"reference": "urn:uuid:2c0a0cda-4750-5462-679e-9534aeb480fc",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7dad5e06-2c80-8e0d-d6e2-a581ede06951",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7dad5e06-2c80-8e0d-d6e2-a581ede06951",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
},
"effectiveDateTime": "2013-10-28T00:23:18+01:00",
"issued": "2013-10-28T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:bd48068f-9a07-fc5a-bc22-29594443da65",
"resource": {
"resourceType": "DocumentReference",
"id": "bd48068f-9a07-fc5a-bc22-29594443da65",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:7dad5e06-2c80-8e0d-d6e2-a581ede06951"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2013-10-28T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
} ],
"period": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:7cdf7f68-dc07-7c4f-5916-04d0bcd5e521",
"resource": {
"resourceType": "Claim",
"id": "7cdf7f68-dc07-7c4f-5916-04d0bcd5e521",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"created": "2013-10-28T00:45:50+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:9ccc854e-c661-dee1-42a8-01e813e2671b"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:159638ef-95af-4cff-1bfd-2e2717977258"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:666783f1-e385-a97a-32d5-8bd486b43892"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:e1409fba-5deb-cef6-70e2-9c8c8e8b2a27"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:d0efb67e-2d05-649c-dbdc-ef38a2259059"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:9cad3f1e-9b5b-2e9d-e69d-524ac14f70bb"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:fb7cb2ac-6242-b191-a09e-6e8e105dfecb"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:d5177b3d-724c-1f09-7cac-11b0b9e66b8c"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:fe48bbfa-b377-ca2f-eb24-c71f5550316e"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:edc79a1a-5750-8c87-9d32-29b83b1aa5f9"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 566.22,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"net": {
"value": 30.53,
"currency": "USD"
}
}, {
"sequence": 9,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 10,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160968000",
"display": "Risk activity involvement (finding)"
} ],
"text": "Risk activity involvement (finding)"
}
}, {
"sequence": 13,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370995009",
"display": "Health risks education (procedure)"
} ],
"text": "Health risks education (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 1270.42,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:9394fd71-9623-2c7e-4364-96a6dda8fdc0",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "9394fd71-9623-2c7e-4364-96a6dda8fdc0",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "7cdf7f68-dc07-7c4f-5916-04d0bcd5e521"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2013-10-28T00:45:50+01:00",
"end": "2014-10-28T00:45:50+01:00"
},
"created": "2013-10-28T00:45:50+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:7cdf7f68-dc07-7c4f-5916-04d0bcd5e521"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:159638ef-95af-4cff-1bfd-2e2717977258"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:666783f1-e385-a97a-32d5-8bd486b43892"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410620009",
"display": "Well child visit (procedure)"
} ],
"text": "Well child visit (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 566.22,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 113.24400000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 452.97600000000006,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 566.22,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 566.22,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 30.53,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 6.106000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 24.424000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 30.53,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 30.53,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160968000",
"display": "Risk activity involvement (finding)"
} ],
"text": "Risk activity involvement (finding)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 13,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370995009",
"display": "Health risks education (procedure)"
} ],
"text": "Health risks education (procedure)"
},
"servicedPeriod": {
"start": "2013-10-28T00:23:18+01:00",
"end": "2013-10-28T00:45:50+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1270.42,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2431.1279999999997,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d",
"resource": {
"resourceType": "Encounter",
"id": "7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:182cd238-5800-4583-4528-529687110275",
"resource": {
"resourceType": "Condition",
"id": "182cd238-5800-4583-4528-529687110275",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ],
"text": "Acute bacterial sinusitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
},
"onsetDateTime": "2013-12-28T09:23:18+01:00",
"abatementDateTime": "2014-05-16T10:23:18+02:00",
"recordedDate": "2013-12-28T09:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:8e4957c2-e704-e349-7dc1-83be4f8f09f2",
"resource": {
"resourceType": "DiagnosticReport",
"id": "8e4957c2-e704-e349-7dc1-83be4f8f09f2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
},
"effectiveDateTime": "2013-12-28T09:23:18+01:00",
"issued": "2013-12-28T09:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:85c864b0-1195-322b-defd-ac2bd2f50d6f",
"resource": {
"resourceType": "DocumentReference",
"id": "85c864b0-1195-322b-defd-ac2bd2f50d6f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:8e4957c2-e704-e349-7dc1-83be4f8f09f2"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2013-12-28T09:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
} ],
"period": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:d001ec86-9bb3-0879-b551-c9f684f35202",
"resource": {
"resourceType": "Claim",
"id": "d001ec86-9bb3-0879-b551-c9f684f35202",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
},
"created": "2013-12-28T09:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:182cd238-5800-4583-4528-529687110275"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ],
"text": "Acute bacterial sinusitis (disorder)"
}
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:c5ae1c3b-0905-838f-303d-27f14d8a0ab2",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "c5ae1c3b-0905-838f-303d-27f14d8a0ab2",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d001ec86-9bb3-0879-b551-c9f684f35202"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2013-12-28T09:38:18+01:00",
"end": "2014-12-28T09:38:18+01:00"
},
"created": "2013-12-28T09:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:d001ec86-9bb3-0879-b551-c9f684f35202"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:182cd238-5800-4583-4528-529687110275"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ],
"text": "Acute bacterial sinusitis (disorder)"
},
"servicedPeriod": {
"start": "2013-12-28T09:23:18+01:00",
"end": "2013-12-28T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b",
"resource": {
"resourceType": "Encounter",
"id": "0eb87888-4477-9785-54fb-bb7c088c1a8b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "0eb87888-4477-9785-54fb-bb7c088c1a8b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:801cbe03-16a4-4e5d-8e2a-6329686b20b1",
"resource": {
"resourceType": "Condition",
"id": "801cbe03-16a4-4e5d-8e2a-6329686b20b1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "40055000",
"display": "Chronic sinusitis (disorder)"
} ],
"text": "Chronic sinusitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
},
"onsetDateTime": "2014-01-24T09:23:18+01:00",
"recordedDate": "2014-01-24T09:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:8d374581-5dc6-4f54-8453-809118773d58",
"resource": {
"resourceType": "Device",
"id": "8d374581-5dc6-4f54-8453-809118773d58",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device" ]
},
"udiCarrier": [ {
"deviceIdentifier": "22343524849078",
"carrierHRF": "(01)22343524849078(11)140103(17)390118(10)585042678308040839(21)3753"
} ],
"status": "active",
"distinctIdentifier": "22343524849078",
"manufactureDate": "2014-01-03T09:23:18+01:00",
"expirationDate": "2039-01-18T09:23:18+01:00",
"lotNumber": "585042678308040839",
"serialNumber": "3753",
"deviceName": [ {
"name": "Home nebulizer (physical object)",
"type": "user-friendly-name"
} ],
"type": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "170615005",
"display": "Home nebulizer (physical object)"
} ],
"text": "Home nebulizer (physical object)"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
}
},
"request": {
"method": "POST",
"url": "Device"
}
}, {
"fullUrl": "urn:uuid:b9d05162-d03a-426a-0722-305328311381",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b9d05162-d03a-426a-0722-305328311381",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
},
"effectiveDateTime": "2014-01-24T09:23:18+01:00",
"issued": "2014-01-24T09:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:07fa10d6-eeff-e430-be82-c3417df766ef",
"resource": {
"resourceType": "DocumentReference",
"id": "07fa10d6-eeff-e430-be82-c3417df766ef",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b9d05162-d03a-426a-0722-305328311381"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-01-24T09:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
} ],
"period": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:895ff4b7-c832-75d5-40e0-393e3d1cb86b",
"resource": {
"resourceType": "Claim",
"id": "895ff4b7-c832-75d5-40e0-393e3d1cb86b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"created": "2014-01-24T09:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:801cbe03-16a4-4e5d-8e2a-6329686b20b1"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "40055000",
"display": "Chronic sinusitis (disorder)"
} ],
"text": "Chronic sinusitis (disorder)"
}
}, {
"sequence": 3,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "170615005",
"display": "Home nebulizer (physical object)"
} ],
"text": "Home nebulizer (physical object)"
},
"net": {
"value": 7.38,
"currency": "USD"
}
} ],
"total": {
"value": 92.93,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:164892c6-461c-86d9-d938-501637e9217c",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "164892c6-461c-86d9-d938-501637e9217c",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "895ff4b7-c832-75d5-40e0-393e3d1cb86b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-01-24T09:38:18+01:00",
"end": "2015-01-24T09:38:18+01:00"
},
"created": "2014-01-24T09:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:895ff4b7-c832-75d5-40e0-393e3d1cb86b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:801cbe03-16a4-4e5d-8e2a-6329686b20b1"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "40055000",
"display": "Chronic sinusitis (disorder)"
} ],
"text": "Chronic sinusitis (disorder)"
},
"servicedPeriod": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "170615005",
"display": "Home nebulizer (physical object)"
} ],
"text": "Home nebulizer (physical object)"
},
"servicedPeriod": {
"start": "2014-01-24T09:23:18+01:00",
"end": "2014-01-24T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 7.38,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 1.476,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 5.904,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 7.38,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 7.38,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 92.93,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 5.904,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe",
"resource": {
"resourceType": "Encounter",
"id": "87091962-4d1b-bae5-7078-2d20896392fe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "87091962-4d1b-bae5-7078-2d20896392fe"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:00cd28f1-81a2-6137-30be-6f183f34f701",
"resource": {
"resourceType": "Condition",
"id": "00cd28f1-81a2-6137-30be-6f183f34f701",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"onsetDateTime": "2014-02-03T00:23:18+01:00",
"abatementDateTime": "2014-03-31T01:23:18+02:00",
"recordedDate": "2014-02-03T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:064cb66d-0e3a-8a52-af33-28eab6913b66",
"resource": {
"resourceType": "Observation",
"id": "064cb66d-0e3a-8a52-af33-28eab6913b66",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 181.7,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:33cfd69b-7c8d-0234-017c-72288f21ded1",
"resource": {
"resourceType": "Observation",
"id": "33cfd69b-7c8d-0234-017c-72288f21ded1",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:decf4ace-eca8-8ff2-173f-d25c86e078da",
"resource": {
"resourceType": "Observation",
"id": "decf4ace-eca8-8ff2-173f-d25c86e078da",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 75.3,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1f6f1b00-a33b-5df5-de30-0ef32895f126",
"resource": {
"resourceType": "Observation",
"id": "1f6f1b00-a33b-5df5-de30-0ef32895f126",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 22.82,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f73f1e89-0420-851d-0b71-6fbb46edca0f",
"resource": {
"resourceType": "Observation",
"id": "f73f1e89-0420-851d-0b71-6fbb46edca0f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 66.806,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9bf29633-a140-aad0-fafb-567fdc50e9f6",
"resource": {
"resourceType": "Observation",
"id": "9bf29633-a140-aad0-fafb-567fdc50e9f6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 87,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 134,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:96b2c3fb-3e6a-b38a-1c69-09fde230c3aa",
"resource": {
"resourceType": "Observation",
"id": "96b2c3fb-3e6a-b38a-1c69-09fde230c3aa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 93,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:13adbd30-ff29-9773-853d-6cffbfebbaaa",
"resource": {
"resourceType": "Observation",
"id": "13adbd30-ff29-9773-853d-6cffbfebbaaa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a91c9608-990f-7910-04ed-2965b8215fa4",
"resource": {
"resourceType": "Observation",
"id": "a91c9608-990f-7910-04ed-2965b8215fa4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0a846a2d-b318-de61-9a35-3f63167d0718",
"resource": {
"resourceType": "Observation",
"id": "0a846a2d-b318-de61-9a35-3f63167d0718",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89204-2",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:59:54+01:00",
"issued": "2014-02-03T00:59:54.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:de71a41a-a130-f59e-3e61-07a21817f56b",
"resource": {
"resourceType": "Procedure",
"id": "de71a41a-a130-f59e-3e61-07a21817f56b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"performedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:13+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e4952a70-8504-77ed-2b5d-3b0d4a0ffa35",
"resource": {
"resourceType": "Procedure",
"id": "e4952a70-8504-77ed-2b5d-3b0d4a0ffa35",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"performedPeriod": {
"start": "2014-02-03T00:38:13+01:00",
"end": "2014-02-03T00:59:54+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0f57af33-6189-c5e2-aa7c-4d0eb68a47e0",
"resource": {
"resourceType": "Procedure",
"id": "0f57af33-6189-c5e2-aa7c-4d0eb68a47e0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"performedPeriod": {
"start": "2014-02-03T00:59:54+01:00",
"end": "2014-02-03T01:14:26+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:ba858db5-54b1-7897-a9f9-d57bb7544987",
"resource": {
"resourceType": "Procedure",
"id": "ba858db5-54b1-7897-a9f9-d57bb7544987",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"performedPeriod": {
"start": "2014-02-03T01:14:26+01:00",
"end": "2014-02-03T01:27:01+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b87c2f93-d798-fac2-38d4-1f480e1f5807",
"resource": {
"resourceType": "Procedure",
"id": "b87c2f93-d798-fac2-38d4-1f480e1f5807",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"performedPeriod": {
"start": "2014-02-03T01:27:01+01:00",
"end": "2014-02-03T01:35:09+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:af4dcf03-cb68-a554-549b-8c5f93314e2d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "af4dcf03-cb68-a554-549b-8c5f93314e2d",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:59:54+01:00",
"issued": "2014-02-03T00:59:54.760+01:00",
"result": [ {
"reference": "urn:uuid:0a846a2d-b318-de61-9a35-3f63167d0718",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:4f6d545c-7c51-f219-ff5a-f68916f5aff9",
"resource": {
"resourceType": "DiagnosticReport",
"id": "4f6d545c-7c51-f219-ff5a-f68916f5aff9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
},
"effectiveDateTime": "2014-02-03T00:23:18+01:00",
"issued": "2014-02-03T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:edbc45d7-d670-5131-0bab-4b574381b607",
"resource": {
"resourceType": "DocumentReference",
"id": "edbc45d7-d670-5131-0bab-4b574381b607",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:4f6d545c-7c51-f219-ff5a-f68916f5aff9"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-02-03T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
} ],
"period": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:c52cfa97-f1c0-fa64-7c3e-baac0ded073f",
"resource": {
"resourceType": "Claim",
"id": "c52cfa97-f1c0-fa64-7c3e-baac0ded073f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"created": "2014-02-03T00:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:00cd28f1-81a2-6137-30be-6f183f34f701"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:de71a41a-a130-f59e-3e61-07a21817f56b"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:e4952a70-8504-77ed-2b5d-3b0d4a0ffa35"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:0f57af33-6189-c5e2-aa7c-4d0eb68a47e0"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:ba858db5-54b1-7897-a9f9-d57bb7544987"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:b87c2f93-d798-fac2-38d4-1f480e1f5807"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"net": {
"value": 32.52,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 516.95,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ffe73ed7-9ce7-04d4-7829-093b833456b6",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ffe73ed7-9ce7-04d4-7829-093b833456b6",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "c52cfa97-f1c0-fa64-7c3e-baac0ded073f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-02-03T00:38:18+01:00",
"end": "2015-02-03T00:38:18+01:00"
},
"created": "2014-02-03T00:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:c52cfa97-f1c0-fa64-7c3e-baac0ded073f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:00cd28f1-81a2-6137-30be-6f183f34f701"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 32.52,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 6.504000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 26.016000000000005,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 32.52,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 32.52,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"servicedPeriod": {
"start": "2014-02-03T00:23:18+01:00",
"end": "2014-02-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 516.95,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1466.1599999999999,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417",
"resource": {
"resourceType": "Encounter",
"id": "5807029f-0400-659e-a94b-38ee2cffb417",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "5807029f-0400-659e-a94b-38ee2cffb417"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-03-07T09:23:18+01:00",
"end": "2014-03-07T09:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-03-07T09:23:18+01:00",
"end": "2014-03-07T09:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:59aeb18f-f217-a0fb-1965-3a325ca6987e",
"resource": {
"resourceType": "DiagnosticReport",
"id": "59aeb18f-f217-a0fb-1965-3a325ca6987e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417"
},
"effectiveDateTime": "2014-03-07T09:23:18+01:00",
"issued": "2014-03-07T09:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTQtMDMtMDcKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE3IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBhY3V0ZSBiYWN0ZXJpYWwgc2ludXNpdGlzIChkaXNvcmRlciksIHJpc2sgYWN0aXZpdHkgaW52b2x2ZW1lbnQgKGZpbmRpbmcpLCBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCiBQYXRpZW50IGlkZW50aWZpZXMgYXMgaGV0ZXJvc2V4dWFsLgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgoK"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:5762c83f-24c1-e4d2-cf1e-de3cd9077826",
"resource": {
"resourceType": "DocumentReference",
"id": "5762c83f-24c1-e4d2-cf1e-de3cd9077826",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:59aeb18f-f217-a0fb-1965-3a325ca6987e"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-03-07T09:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTQtMDMtMDcKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE3IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBhY3V0ZSBiYWN0ZXJpYWwgc2ludXNpdGlzIChkaXNvcmRlciksIHJpc2sgYWN0aXZpdHkgaW52b2x2ZW1lbnQgKGZpbmRpbmcpLCBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCiBQYXRpZW50IGlkZW50aWZpZXMgYXMgaGV0ZXJvc2V4dWFsLgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgoK"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417"
} ],
"period": {
"start": "2014-03-07T09:23:18+01:00",
"end": "2014-03-07T09:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:533d2adf-3809-c402-4b67-ae31253acef4",
"resource": {
"resourceType": "Claim",
"id": "533d2adf-3809-c402-4b67-ae31253acef4",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-03-07T09:23:18+01:00",
"end": "2014-03-07T09:38:18+01:00"
},
"created": "2014-03-07T09:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a4bd31c6-9401-674f-79db-495f87e3f5b4",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a4bd31c6-9401-674f-79db-495f87e3f5b4",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "533d2adf-3809-c402-4b67-ae31253acef4"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-03-07T09:38:18+01:00",
"end": "2015-03-07T09:38:18+01:00"
},
"created": "2014-03-07T09:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:533d2adf-3809-c402-4b67-ae31253acef4"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-03-07T09:23:18+01:00",
"end": "2014-03-07T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732",
"resource": {
"resourceType": "Encounter",
"id": "37a61e61-13e2-b41c-8e1c-843cf0a6d732",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "37a61e61-13e2-b41c-8e1c-843cf0a6d732"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-03-21T09:23:18+01:00",
"end": "2014-03-21T09:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-03-21T09:23:18+01:00",
"end": "2014-03-21T09:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:d1d66e04-65e1-f2fd-8dec-6bb8ab754775",
"resource": {
"resourceType": "DiagnosticReport",
"id": "d1d66e04-65e1-f2fd-8dec-6bb8ab754775",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732"
},
"effectiveDateTime": "2014-03-21T09:23:18+01:00",
"issued": "2014-03-21T09:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7529b956-1efd-9cd8-0fcd-7736ceeb3f05",
"resource": {
"resourceType": "DocumentReference",
"id": "7529b956-1efd-9cd8-0fcd-7736ceeb3f05",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:d1d66e04-65e1-f2fd-8dec-6bb8ab754775"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-03-21T09:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732"
} ],
"period": {
"start": "2014-03-21T09:23:18+01:00",
"end": "2014-03-21T09:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:aa2a4b34-b3a1-ca20-0289-a9e8c8e413a5",
"resource": {
"resourceType": "Claim",
"id": "aa2a4b34-b3a1-ca20-0289-a9e8c8e413a5",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-03-21T09:23:18+01:00",
"end": "2014-03-21T09:38:18+01:00"
},
"created": "2014-03-21T09:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:831fc912-7cc6-9e5e-d798-279a58d4d7f1",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "831fc912-7cc6-9e5e-d798-279a58d4d7f1",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "aa2a4b34-b3a1-ca20-0289-a9e8c8e413a5"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-03-21T09:38:18+01:00",
"end": "2015-03-21T09:38:18+01:00"
},
"created": "2014-03-21T09:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:aa2a4b34-b3a1-ca20-0289-a9e8c8e413a5"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-03-21T09:23:18+01:00",
"end": "2014-03-21T09:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b",
"resource": {
"resourceType": "Encounter",
"id": "7f829963-e01c-77c3-8d56-3926ee464e9b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "7f829963-e01c-77c3-8d56-3926ee464e9b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:bd4d92fe-ad55-741b-a723-b6700c8dc789",
"resource": {
"resourceType": "Observation",
"id": "bd4d92fe-ad55-741b-a723-b6700c8dc789",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 181.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:273f0439-30c6-ab9c-c6f8-c4d04f31a7f6",
"resource": {
"resourceType": "Observation",
"id": "273f0439-30c6-ab9c-c6f8-c4d04f31a7f6",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5621b5cc-db79-29bb-96fb-bc709db5677f",
"resource": {
"resourceType": "Observation",
"id": "5621b5cc-db79-29bb-96fb-bc709db5677f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 76.2,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1caaee2f-96ce-3309-59c8-760355618caa",
"resource": {
"resourceType": "Observation",
"id": "1caaee2f-96ce-3309-59c8-760355618caa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 23.03,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:121430da-98e3-6ecf-4146-0a0041480c9d",
"resource": {
"resourceType": "Observation",
"id": "121430da-98e3-6ecf-4146-0a0041480c9d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 67.852,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:63833a5a-9bf8-a15c-97a5-ab3a89d5d75c",
"resource": {
"resourceType": "Observation",
"id": "63833a5a-9bf8-a15c-97a5-ab3a89d5d75c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 85,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 134,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3ec7e82a-5466-7ebf-910f-f32b69b5a3e1",
"resource": {
"resourceType": "Observation",
"id": "3ec7e82a-5466-7ebf-910f-f32b69b5a3e1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 84,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:61d0cf4c-bb56-4064-c512-f71fc03fb1b4",
"resource": {
"resourceType": "Observation",
"id": "61d0cf4c-bb56-4064-c512-f71fc03fb1b4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c9112bfc-9199-84e6-62a3-2a8bd774d950",
"resource": {
"resourceType": "Observation",
"id": "c9112bfc-9199-84e6-62a3-2a8bd774d950",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:04fc42ed-7eeb-f70a-006b-16ca881a25f9",
"resource": {
"resourceType": "Procedure",
"id": "04fc42ed-7eeb-f70a-006b-16ca881a25f9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"performedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7e0c2e6a-2c82-e47a-5ae9-76364ca18c10",
"resource": {
"resourceType": "Procedure",
"id": "7e0c2e6a-2c82-e47a-5ae9-76364ca18c10",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"performedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:33:41+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f36cf5e2-589f-1618-1327-16d5647fe06f",
"resource": {
"resourceType": "Procedure",
"id": "f36cf5e2-589f-1618-1327-16d5647fe06f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"performedPeriod": {
"start": "2014-03-31T01:33:41+02:00",
"end": "2014-03-31T01:56:08+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c107d89f-50b8-629e-6c91-0383f65bfad0",
"resource": {
"resourceType": "Procedure",
"id": "c107d89f-50b8-629e-6c91-0383f65bfad0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"performedPeriod": {
"start": "2014-03-31T01:56:08+02:00",
"end": "2014-03-31T02:01:58+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:63229c40-ef42-e293-a7f3-3bcff6ebd1cb",
"resource": {
"resourceType": "Immunization",
"id": "63229c40-ef42-e293-a7f3-3bcff6ebd1cb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"occurrenceDateTime": "2014-03-31T01:23:18+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:7d44e94a-f7d0-934e-b922-f449d1f35cf8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7d44e94a-f7d0-934e-b922-f449d1f35cf8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
},
"effectiveDateTime": "2014-03-31T01:23:18+02:00",
"issued": "2014-03-31T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:5aeb78c1-7b00-1e7b-7138-caa06b58154c",
"resource": {
"resourceType": "DocumentReference",
"id": "5aeb78c1-7b00-1e7b-7138-caa06b58154c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:7d44e94a-f7d0-934e-b922-f449d1f35cf8"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-03-31T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTQtMDMtMzEKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE3IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBhY3V0ZSBiYWN0ZXJpYWwgc2ludXNpdGlzIChkaXNvcmRlciksIHJpc2sgYWN0aXZpdHkgaW52b2x2ZW1lbnQgKGZpbmRpbmcpLCBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCiBQYXRpZW50IGlkZW50aWZpZXMgYXMgaGV0ZXJvc2V4dWFsLgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgpQYXRpZW50IHdhcyBnaXZlbiB0aGUgZm9sbG93aW5nIGltbXVuaXphdGlvbnM6IGluZmx1ZW56YSwgc2Vhc29uYWwsIGluamVjdGFibGUsIHByZXNlcnZhdGl2ZSBmcmVlLiAKVGhlIGZvbGxvd2luZyBwcm9jZWR1cmVzIHdlcmUgY29uZHVjdGVkOgotIG1lZGljYXRpb24gcmVjb25jaWxpYXRpb24gKHByb2NlZHVyZSkKLSBhc3Nlc3NtZW50IG9mIHN1YnN0YW5jZSB1c2UgKHByb2NlZHVyZSkKLSBhc3Nlc3NtZW50IHVzaW5nIGNhciwgcmVsYXgsIGFsb25lLCBmb3JnZXQsIGZyaWVuZHMsIHRyb3VibGUgc2NyZWVuaW5nIHRlc3QgKHByb2NlZHVyZSkKLSBhbnRpY2lwYXRvcnkgZ3VpZGFuY2UgKHByb2NlZHVyZSkK"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
} ],
"period": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:28b66ab9-9785-7c7e-900e-d90cea6706e1",
"resource": {
"resourceType": "Claim",
"id": "28b66ab9-9785-7c7e-900e-d90cea6706e1",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"created": "2014-03-31T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:63229c40-ef42-e293-a7f3-3bcff6ebd1cb"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:04fc42ed-7eeb-f70a-006b-16ca881a25f9"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:7e0c2e6a-2c82-e47a-5ae9-76364ca18c10"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:f36cf5e2-589f-1618-1327-16d5647fe06f"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:c107d89f-50b8-629e-6c91-0383f65bfad0"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 491.18,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 1144.13,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a598a37e-3c7e-f60a-ed65-3e21ff73fb2f",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a598a37e-3c7e-f60a-ed65-3e21ff73fb2f",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "28b66ab9-9785-7c7e-900e-d90cea6706e1"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-03-31T01:38:18+02:00",
"end": "2015-03-31T01:38:18+02:00"
},
"created": "2014-03-31T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:28b66ab9-9785-7c7e-900e-d90cea6706e1"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 491.18,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 98.236,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 392.944,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 491.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 491.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"servicedPeriod": {
"start": "2014-03-31T01:23:18+02:00",
"end": "2014-03-31T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1144.13,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1537.1039999999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184",
"resource": {
"resourceType": "Encounter",
"id": "ea1a9207-00c2-e83f-546d-39f2f50c5184",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "ea1a9207-00c2-e83f-546d-39f2f50c5184"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-04-04T10:23:18+02:00",
"end": "2014-04-04T10:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-04-04T10:23:18+02:00",
"end": "2014-04-04T10:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:d587f452-fdc1-eaac-9f32-303108c0c4cf",
"resource": {
"resourceType": "DiagnosticReport",
"id": "d587f452-fdc1-eaac-9f32-303108c0c4cf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184"
},
"effectiveDateTime": "2014-04-04T10:23:18+02:00",
"issued": "2014-04-04T10:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d6123add-caf0-8fa3-cce3-512b1ccf7ffb",
"resource": {
"resourceType": "DocumentReference",
"id": "d6123add-caf0-8fa3-cce3-512b1ccf7ffb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:d587f452-fdc1-eaac-9f32-303108c0c4cf"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-04-04T10:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184"
} ],
"period": {
"start": "2014-04-04T10:23:18+02:00",
"end": "2014-04-04T10:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:f3b094c1-5722-fcf0-7074-ab61bb052aa0",
"resource": {
"resourceType": "Claim",
"id": "f3b094c1-5722-fcf0-7074-ab61bb052aa0",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-04-04T10:23:18+02:00",
"end": "2014-04-04T10:38:18+02:00"
},
"created": "2014-04-04T10:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:96127bbd-f29f-f9bc-5fbc-b7ed489442d9",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "96127bbd-f29f-f9bc-5fbc-b7ed489442d9",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f3b094c1-5722-fcf0-7074-ab61bb052aa0"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-04-04T10:38:18+02:00",
"end": "2015-04-04T10:38:18+02:00"
},
"created": "2014-04-04T10:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:f3b094c1-5722-fcf0-7074-ab61bb052aa0"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-04-04T10:23:18+02:00",
"end": "2014-04-04T10:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0",
"resource": {
"resourceType": "Encounter",
"id": "1b14dacd-23dc-a621-320d-1aac1e84b4b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "1b14dacd-23dc-a621-320d-1aac1e84b4b0"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:f448f7e6-e337-3034-32a7-e1c9bcbfcf0d",
"resource": {
"resourceType": "Condition",
"id": "f448f7e6-e337-3034-32a7-e1c9bcbfcf0d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"onsetDateTime": "2014-04-14T01:23:18+02:00",
"abatementDateTime": "2014-04-28T01:23:18+02:00",
"recordedDate": "2014-04-14T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:8c67fd00-a3a9-26e4-b864-3be9c8529489",
"resource": {
"resourceType": "Observation",
"id": "8c67fd00-a3a9-26e4-b864-3be9c8529489",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 181.9,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:153047a6-49a6-4b4f-9308-ab9ac518e209",
"resource": {
"resourceType": "Observation",
"id": "153047a6-49a6-4b4f-9308-ab9ac518e209",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8a3a17f3-1949-7b70-8134-1bc7ae1c8eb4",
"resource": {
"resourceType": "Observation",
"id": "8a3a17f3-1949-7b70-8134-1bc7ae1c8eb4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 76.7,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:944e7834-311b-107f-2b02-bc69b8ffa302",
"resource": {
"resourceType": "Observation",
"id": "944e7834-311b-107f-2b02-bc69b8ffa302",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 23.17,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bdc29fc5-ef6b-f841-96e3-5a666af0de12",
"resource": {
"resourceType": "Observation",
"id": "bdc29fc5-ef6b-f841-96e3-5a666af0de12",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 68.639,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1360a5d6-39ad-143c-061a-1fb64d43292f",
"resource": {
"resourceType": "Observation",
"id": "1360a5d6-39ad-143c-061a-1fb64d43292f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 84,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 134,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1b249b32-c092-8b22-fa4f-76ecbe0662dd",
"resource": {
"resourceType": "Observation",
"id": "1b249b32-c092-8b22-fa4f-76ecbe0662dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 64,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2752a28b-8539-76b3-96da-5c5f55e036ce",
"resource": {
"resourceType": "Observation",
"id": "2752a28b-8539-76b3-96da-5c5f55e036ce",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d10c259f-5f4f-5cf7-ee8b-35f58bc869a7",
"resource": {
"resourceType": "Observation",
"id": "d10c259f-5f4f-5cf7-ee8b-35f58bc869a7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:fea1265a-adb5-b349-1ee6-c4438f01cff4",
"resource": {
"resourceType": "Observation",
"id": "fea1265a-adb5-b349-1ee6-c4438f01cff4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89204-2",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T02:04:58+02:00",
"issued": "2014-04-14T02:04:58.760+02:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:eb777fba-bcc9-8f5e-37d0-e081c714c005",
"resource": {
"resourceType": "Procedure",
"id": "eb777fba-bcc9-8f5e-37d0-e081c714c005",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"performedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:35:02+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:56d3b63f-0f2a-5eb1-79cd-5750a3c1541e",
"resource": {
"resourceType": "Procedure",
"id": "56d3b63f-0f2a-5eb1-79cd-5750a3c1541e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"performedPeriod": {
"start": "2014-04-14T01:35:02+02:00",
"end": "2014-04-14T02:04:58+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7d94ada2-dcc3-e96f-a34a-851a0bc82954",
"resource": {
"resourceType": "Procedure",
"id": "7d94ada2-dcc3-e96f-a34a-851a0bc82954",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"performedPeriod": {
"start": "2014-04-14T02:04:58+02:00",
"end": "2014-04-14T02:16:34+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b0b539fd-b133-28a2-f6af-f4ae70395746",
"resource": {
"resourceType": "Procedure",
"id": "b0b539fd-b133-28a2-f6af-f4ae70395746",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"performedPeriod": {
"start": "2014-04-14T02:16:34+02:00",
"end": "2014-04-14T02:27:49+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:37c368b0-dc82-9b11-194a-ca3daf8a1f07",
"resource": {
"resourceType": "Procedure",
"id": "37c368b0-dc82-9b11-194a-ca3daf8a1f07",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"performedPeriod": {
"start": "2014-04-14T02:27:49+02:00",
"end": "2014-04-14T02:35:11+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a4e4134a-defb-e8b8-4844-af7a9f350c57",
"resource": {
"resourceType": "DiagnosticReport",
"id": "a4e4134a-defb-e8b8-4844-af7a9f350c57",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T02:04:58+02:00",
"issued": "2014-04-14T02:04:58.760+02:00",
"result": [ {
"reference": "urn:uuid:fea1265a-adb5-b349-1ee6-c4438f01cff4",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:bf4819f0-3f0c-c2d1-9e38-71e710231023",
"resource": {
"resourceType": "DiagnosticReport",
"id": "bf4819f0-3f0c-c2d1-9e38-71e710231023",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
},
"effectiveDateTime": "2014-04-14T01:23:18+02:00",
"issued": "2014-04-14T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:117be7c4-fe7d-b7df-c3e6-76bc813d6e67",
"resource": {
"resourceType": "DocumentReference",
"id": "117be7c4-fe7d-b7df-c3e6-76bc813d6e67",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:bf4819f0-3f0c-c2d1-9e38-71e710231023"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-04-14T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
} ],
"period": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:251f01b4-d211-33a7-df99-19f6d6a61179",
"resource": {
"resourceType": "Claim",
"id": "251f01b4-d211-33a7-df99-19f6d6a61179",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"created": "2014-04-14T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f448f7e6-e337-3034-32a7-e1c9bcbfcf0d"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:eb777fba-bcc9-8f5e-37d0-e081c714c005"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:56d3b63f-0f2a-5eb1-79cd-5750a3c1541e"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:7d94ada2-dcc3-e96f-a34a-851a0bc82954"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:b0b539fd-b133-28a2-f6af-f4ae70395746"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:37c368b0-dc82-9b11-194a-ca3daf8a1f07"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"net": {
"value": 31.16,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 516.95,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:61fbcec4-94c7-1a15-c454-65415e715644",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "61fbcec4-94c7-1a15-c454-65415e715644",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "251f01b4-d211-33a7-df99-19f6d6a61179"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-04-14T01:38:18+02:00",
"end": "2015-04-14T01:38:18+02:00"
},
"created": "2014-04-14T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:251f01b4-d211-33a7-df99-19f6d6a61179"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:f448f7e6-e337-3034-32a7-e1c9bcbfcf0d"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 31.16,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 6.232,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 24.928,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 31.16,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 31.16,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"servicedPeriod": {
"start": "2014-04-14T01:23:18+02:00",
"end": "2014-04-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 516.95,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1465.0720000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a",
"resource": {
"resourceType": "Encounter",
"id": "5244f879-5c94-8735-cb1e-0d0b3eed9d6a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-04-18T10:23:18+02:00",
"end": "2014-04-18T10:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-04-18T10:23:18+02:00",
"end": "2014-04-18T10:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:6c9bba5b-2415-4fba-fff0-32173a1303ff",
"resource": {
"resourceType": "DiagnosticReport",
"id": "6c9bba5b-2415-4fba-fff0-32173a1303ff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
},
"effectiveDateTime": "2014-04-18T10:23:18+02:00",
"issued": "2014-04-18T10:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:37f77cbe-f685-e88c-2599-a9599a43c93c",
"resource": {
"resourceType": "DocumentReference",
"id": "37f77cbe-f685-e88c-2599-a9599a43c93c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:6c9bba5b-2415-4fba-fff0-32173a1303ff"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-04-18T10:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
} ],
"period": {
"start": "2014-04-18T10:23:18+02:00",
"end": "2014-04-18T10:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:ba433222-b152-3561-72ed-bd62b5f8fdbd",
"resource": {
"resourceType": "Claim",
"id": "ba433222-b152-3561-72ed-bd62b5f8fdbd",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-04-18T10:23:18+02:00",
"end": "2014-04-18T10:38:18+02:00"
},
"created": "2014-04-18T10:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:dabc76bd-0232-db5c-da0d-da56377a6149",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "dabc76bd-0232-db5c-da0d-da56377a6149",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "ba433222-b152-3561-72ed-bd62b5f8fdbd"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-04-18T10:38:18+02:00",
"end": "2015-04-18T10:38:18+02:00"
},
"created": "2014-04-18T10:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:ba433222-b152-3561-72ed-bd62b5f8fdbd"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-04-18T10:23:18+02:00",
"end": "2014-04-18T10:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe",
"resource": {
"resourceType": "Encounter",
"id": "39169aaa-aab2-d223-a138-960c8b537abe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "39169aaa-aab2-d223-a138-960c8b537abe"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:ff0863fd-27d6-8819-8317-a99184de3c01",
"resource": {
"resourceType": "Observation",
"id": "ff0863fd-27d6-8819-8317-a99184de3c01",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 181.9,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:277496ca-f68c-8b34-2efb-5162020ae612",
"resource": {
"resourceType": "Observation",
"id": "277496ca-f68c-8b34-2efb-5162020ae612",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:40acc101-468b-eec1-d223-c9ead85a03a2",
"resource": {
"resourceType": "Observation",
"id": "40acc101-468b-eec1-d223-c9ead85a03a2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 76.7,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:fe29169d-fc13-3c98-d487-6f40935b88e9",
"resource": {
"resourceType": "Observation",
"id": "fe29169d-fc13-3c98-d487-6f40935b88e9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 23.17,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f589e846-3761-72f3-feeb-3e2070238d85",
"resource": {
"resourceType": "Observation",
"id": "f589e846-3761-72f3-feeb-3e2070238d85",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 68.639,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:289f4e4a-15dd-13d7-c89a-052a28a8d6c2",
"resource": {
"resourceType": "Observation",
"id": "289f4e4a-15dd-13d7-c89a-052a28a8d6c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 87,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 125,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b353ef01-8efa-1c18-5e3e-bd1506e2d664",
"resource": {
"resourceType": "Observation",
"id": "b353ef01-8efa-1c18-5e3e-bd1506e2d664",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 75,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0958b2a8-b3e7-c318-9d99-421f5b945c7d",
"resource": {
"resourceType": "Observation",
"id": "0958b2a8-b3e7-c318-9d99-421f5b945c7d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7d0318b8-c550-774e-9b26-e74f15fa55ca",
"resource": {
"resourceType": "Observation",
"id": "7d0318b8-c550-774e-9b26-e74f15fa55ca",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8e99de83-e31e-9e30-e0b5-9a5186e72dd5",
"resource": {
"resourceType": "Observation",
"id": "8e99de83-e31e-9e30-e0b5-9a5186e72dd5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89204-2",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:58:45+02:00",
"issued": "2014-04-28T01:58:45.760+02:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:37ca3309-c50f-545c-98a2-aefba70013bd",
"resource": {
"resourceType": "Procedure",
"id": "37ca3309-c50f-545c-98a2-aefba70013bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:af8099ce-6e5f-bac5-31ce-2d8bfc035b71",
"resource": {
"resourceType": "Procedure",
"id": "af8099ce-6e5f-bac5-31ce-2d8bfc035b71",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:33:45+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:173bbbac-fd8c-c149-61e7-b88129f9dd09",
"resource": {
"resourceType": "Procedure",
"id": "173bbbac-fd8c-c149-61e7-b88129f9dd09",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T01:33:45+02:00",
"end": "2014-04-28T01:58:45+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:56d9db77-aa52-d804-a246-00ce29d93411",
"resource": {
"resourceType": "Procedure",
"id": "56d9db77-aa52-d804-a246-00ce29d93411",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T01:58:45+02:00",
"end": "2014-04-28T02:13:19+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7fabbaae-5451-97bf-633a-16a707aa90f4",
"resource": {
"resourceType": "Procedure",
"id": "7fabbaae-5451-97bf-633a-16a707aa90f4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T02:13:19+02:00",
"end": "2014-04-28T02:40:20+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:1bb8a72b-81e1-56cc-7951-9e5e9209bc50",
"resource": {
"resourceType": "Procedure",
"id": "1bb8a72b-81e1-56cc-7951-9e5e9209bc50",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"performedPeriod": {
"start": "2014-04-28T02:40:20+02:00",
"end": "2014-04-28T02:50:24+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b40ca216-a799-8eb9-2c76-c4552a296aa7",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b40ca216-a799-8eb9-2c76-c4552a296aa7",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:58:45+02:00",
"issued": "2014-04-28T01:58:45.760+02:00",
"result": [ {
"reference": "urn:uuid:8e99de83-e31e-9e30-e0b5-9a5186e72dd5",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:8ca07814-d51a-73c0-979f-52379ec4af9e",
"resource": {
"resourceType": "DiagnosticReport",
"id": "8ca07814-d51a-73c0-979f-52379ec4af9e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
},
"effectiveDateTime": "2014-04-28T01:23:18+02:00",
"issued": "2014-04-28T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:782e481a-ca7d-7cd8-ca0d-3872c14e9325",
"resource": {
"resourceType": "DocumentReference",
"id": "782e481a-ca7d-7cd8-ca0d-3872c14e9325",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:8ca07814-d51a-73c0-979f-52379ec4af9e"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-04-28T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
} ],
"period": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9e9d867f-53e2-7d07-124b-63e602f3d0c7",
"resource": {
"resourceType": "Claim",
"id": "9e9d867f-53e2-7d07-124b-63e602f3d0c7",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"created": "2014-04-28T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:37ca3309-c50f-545c-98a2-aefba70013bd"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:af8099ce-6e5f-bac5-31ce-2d8bfc035b71"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:173bbbac-fd8c-c149-61e7-b88129f9dd09"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:56d9db77-aa52-d804-a246-00ce29d93411"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:7fabbaae-5451-97bf-633a-16a707aa90f4"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:1bb8a72b-81e1-56cc-7951-9e5e9209bc50"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
} ]
}, {
"sequence": 2,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 361.20,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"net": {
"value": 30.66,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 878.15,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:92ca9cb0-9305-7ddd-e742-fb9950b67770",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "92ca9cb0-9305-7ddd-e742-fb9950b67770",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9e9d867f-53e2-7d07-124b-63e602f3d0c7"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-04-28T01:38:18+02:00",
"end": "2015-04-28T01:38:18+02:00"
},
"created": "2014-04-28T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:9e9d867f-53e2-7d07-124b-63e602f3d0c7"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
} ]
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 361.20,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 72.24,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 288.96,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 361.20,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 361.20,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 30.66,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 6.132000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 24.528000000000002,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 30.66,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 30.66,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "868187001",
"display": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
} ],
"text": "Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386516004",
"display": "Anticipatory guidance (procedure)"
} ],
"text": "Anticipatory guidance (procedure)"
},
"servicedPeriod": {
"start": "2014-04-28T01:23:18+02:00",
"end": "2014-04-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 878.15,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1753.6319999999996,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7",
"resource": {
"resourceType": "Encounter",
"id": "a7d30b03-9ae2-431d-7fda-9ff6c91693b7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-05-02T10:23:18+02:00",
"end": "2014-05-02T10:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-05-02T10:23:18+02:00",
"end": "2014-05-02T10:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "75498004",
"display": "Acute bacterial sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:93989431-2d95-f1ea-6dbb-5ddb6973fce9",
"resource": {
"resourceType": "DiagnosticReport",
"id": "93989431-2d95-f1ea-6dbb-5ddb6973fce9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
},
"effectiveDateTime": "2014-05-02T10:23:18+02:00",
"issued": "2014-05-02T10:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTQtMDUtMDIKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE3IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBhY3V0ZSBiYWN0ZXJpYWwgc2ludXNpdGlzIChkaXNvcmRlciksIHJpc2sgYWN0aXZpdHkgaW52b2x2ZW1lbnQgKGZpbmRpbmcpLCBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCiBQYXRpZW50IGlkZW50aWZpZXMgYXMgaGV0ZXJvc2V4dWFsLgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgoK"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:f7451b59-9ae7-ff43-e79d-122ab1355122",
"resource": {
"resourceType": "DocumentReference",
"id": "f7451b59-9ae7-ff43-e79d-122ab1355122",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:93989431-2d95-f1ea-6dbb-5ddb6973fce9"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-05-02T10:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
} ],
"period": {
"start": "2014-05-02T10:23:18+02:00",
"end": "2014-05-02T10:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:2e944bc5-e854-8a96-6ceb-73762c4c7b1c",
"resource": {
"resourceType": "Claim",
"id": "2e944bc5-e854-8a96-6ceb-73762c4c7b1c",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-05-02T10:23:18+02:00",
"end": "2014-05-02T10:38:18+02:00"
},
"created": "2014-05-02T10:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0182a423-3a99-162f-33ed-332f19194976",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0182a423-3a99-162f-33ed-332f19194976",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2e944bc5-e854-8a96-6ceb-73762c4c7b1c"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-05-02T10:38:18+02:00",
"end": "2015-05-02T10:38:18+02:00"
},
"created": "2014-05-02T10:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:2e944bc5-e854-8a96-6ceb-73762c4c7b1c"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-05-02T10:23:18+02:00",
"end": "2014-05-02T10:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353",
"resource": {
"resourceType": "Encounter",
"id": "be203acb-a70f-e907-dec2-b2f6e0259353",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "be203acb-a70f-e907-dec2-b2f6e0259353"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:5c0b103c-1e85-5779-bc65-ce8c5330d075",
"resource": {
"resourceType": "Condition",
"id": "5c0b103c-1e85-5779-bc65-ce8c5330d075",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"onsetDateTime": "2014-05-12T01:23:18+02:00",
"abatementDateTime": "2014-05-12T01:23:18+02:00",
"recordedDate": "2014-05-12T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:88ebe926-6e41-a871-9c1b-40949940db6e",
"resource": {
"resourceType": "Observation",
"id": "88ebe926-6e41-a871-9c1b-40949940db6e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 182,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9bc5efda-e70b-3494-e870-d62244fdc87b",
"resource": {
"resourceType": "Observation",
"id": "9bc5efda-e70b-3494-e870-d62244fdc87b",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cd00faf0-158e-9d41-0dc6-6db3dd7258f6",
"resource": {
"resourceType": "Observation",
"id": "cd00faf0-158e-9d41-0dc6-6db3dd7258f6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 77.1,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d278b822-8d11-fc5d-c538-e60fa56e0ce4",
"resource": {
"resourceType": "Observation",
"id": "d278b822-8d11-fc5d-c538-e60fa56e0ce4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 23.27,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:31d0ea9f-c3da-da63-7f24-6f9b7fbe340a",
"resource": {
"resourceType": "Observation",
"id": "31d0ea9f-c3da-da63-7f24-6f9b7fbe340a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 69.143,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d4048e73-95e4-3232-d29a-499c44441a4b",
"resource": {
"resourceType": "Observation",
"id": "d4048e73-95e4-3232-d29a-499c44441a4b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 89,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 124,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9ea4782b-ba54-30d7-8577-a61cc742a9e5",
"resource": {
"resourceType": "Observation",
"id": "9ea4782b-ba54-30d7-8577-a61cc742a9e5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 95,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:71f39f78-9896-457c-557b-4e595eb60664",
"resource": {
"resourceType": "Observation",
"id": "71f39f78-9896-457c-557b-4e595eb60664",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6d3a98b0-2bfe-4b4e-c570-5c4fec4b27b3",
"resource": {
"resourceType": "Observation",
"id": "6d3a98b0-2bfe-4b4e-c570-5c4fec4b27b3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1a552c29-2de5-64f8-ebf2-59ae7378c5c5",
"resource": {
"resourceType": "Observation",
"id": "1a552c29-2de5-64f8-ebf2-59ae7378c5c5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89204-2",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:58:39+02:00",
"issued": "2014-05-12T01:58:39.760+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f6ee9163-e23a-fb36-5acb-bb78c67ab5ad",
"resource": {
"resourceType": "Procedure",
"id": "f6ee9163-e23a-fb36-5acb-bb78c67ab5ad",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"performedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:ded5d15c-2102-0bb0-cd3e-f51a2352f02b",
"resource": {
"resourceType": "Procedure",
"id": "ded5d15c-2102-0bb0-cd3e-f51a2352f02b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"performedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:15+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d8eee36d-c2ef-404f-cacf-9da304597450",
"resource": {
"resourceType": "Procedure",
"id": "d8eee36d-c2ef-404f-cacf-9da304597450",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"performedPeriod": {
"start": "2014-05-12T01:38:15+02:00",
"end": "2014-05-12T01:58:39+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7bc3bc8f-abda-a8d6-05fe-1e83f371da7b",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7bc3bc8f-abda-a8d6-05fe-1e83f371da7b",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:58:39+02:00",
"issued": "2014-05-12T01:58:39.760+02:00",
"result": [ {
"reference": "urn:uuid:1a552c29-2de5-64f8-ebf2-59ae7378c5c5",
"display": "Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:ffb1e89e-d238-b5e6-b3f7-7bf349f4cbe4",
"resource": {
"resourceType": "DiagnosticReport",
"id": "ffb1e89e-d238-b5e6-b3f7-7bf349f4cbe4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
},
"effectiveDateTime": "2014-05-12T01:23:18+02:00",
"issued": "2014-05-12T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:591ac577-3cce-e917-39ca-b31969698cd5",
"resource": {
"resourceType": "DocumentReference",
"id": "591ac577-3cce-e917-39ca-b31969698cd5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:ffb1e89e-d238-b5e6-b3f7-7bf349f4cbe4"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-05-12T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
} ],
"period": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:a5efda51-b455-7ce4-70a6-dc153d52db09",
"resource": {
"resourceType": "Claim",
"id": "a5efda51-b455-7ce4-70a6-dc153d52db09",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"created": "2014-05-12T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:5c0b103c-1e85-5779-bc65-ce8c5330d075"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:f6ee9163-e23a-fb36-5acb-bb78c67ab5ad"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:ded5d15c-2102-0bb0-cd3e-f51a2352f02b"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:d8eee36d-c2ef-404f-cacf-9da304597450"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 759.36,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"net": {
"value": 29.24,
"currency": "USD"
}
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1276.31,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:4c7c51f1-578a-c8fb-d9ba-b6c675a28c2d",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "4c7c51f1-578a-c8fb-d9ba-b6c675a28c2d",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a5efda51-b455-7ce4-70a6-dc153d52db09"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-05-12T01:38:18+02:00",
"end": "2015-05-12T01:38:18+02:00"
},
"created": "2014-05-12T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:a5efda51-b455-7ce4-70a6-dc153d52db09"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:5c0b103c-1e85-5779-bc65-ce8c5330d075"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 759.36,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 151.872,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 607.488,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 759.36,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 759.36,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "715252007",
"display": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Nine Item score (procedure)"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 29.24,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 5.848,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 23.392,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 29.24,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 29.24,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "89206-7",
"display": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
} ],
"text": "Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen]"
},
"servicedPeriod": {
"start": "2014-05-12T01:23:18+02:00",
"end": "2014-05-12T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1276.31,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1035.6640000000002,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4",
"resource": {
"resourceType": "Encounter",
"id": "cc3298aa-8b2c-002a-d5c6-e3c89f32afa4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "43878008",
"display": "Streptococcal sore throat (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2",
"resource": {
"resourceType": "Condition",
"id": "e23af20f-428e-56cf-cb54-a82f530956f2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "43878008",
"display": "Streptococcal sore throat (disorder)"
} ],
"text": "Streptococcal sore throat (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
},
"onsetDateTime": "2014-07-06T09:23:18+02:00",
"abatementDateTime": "2014-07-19T09:23:18+02:00",
"recordedDate": "2014-07-06T09:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:598ca476-a2d8-e7a9-292a-6dc7ebdcf0ca",
"resource": {
"resourceType": "Observation",
"id": "598ca476-a2d8-e7a9-292a-6dc7ebdcf0ca",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}, {
"system": "http://loinc.org",
"code": "8331-1",
"display": "Oral temperature"
} ],
"text": "Body temperature"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
},
"effectiveDateTime": "2014-07-06T09:23:18+02:00",
"issued": "2014-07-06T09:23:18.760+02:00",
"valueQuantity": {
"value": 38.962,
"unit": "Cel",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:503c4df4-70c6-ce79-c540-35dc338c621d",
"resource": {
"resourceType": "Procedure",
"id": "503c4df4-70c6-ce79-c540-35dc338c621d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
},
"performedPeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2",
"display": "Streptococcal sore throat (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:cb5857cc-2e7d-1222-67a3-812f736b8390",
"resource": {
"resourceType": "MedicationRequest",
"id": "cb5857cc-2e7d-1222-67a3-812f736b8390",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
},
"authoredOn": "2014-07-06T09:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2",
"display": "Streptococcal sore throat (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:d746d9df-ca66-a57c-bb12-72db80cdc878",
"resource": {
"resourceType": "Claim",
"id": "d746d9df-ca66-a57c-bb12-72db80cdc878",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"created": "2014-07-06T09:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:cb5857cc-2e7d-1222-67a3-812f736b8390"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ]
} ],
"total": {
"value": 269.68,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b6358ffc-85e4-b5ec-0387-717af2f7f9d3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b6358ffc-85e4-b5ec-0387-717af2f7f9d3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d746d9df-ca66-a57c-bb12-72db80cdc878"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-07-06T09:38:18+02:00",
"end": "2015-07-06T09:38:18+02:00"
},
"created": "2014-07-06T09:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:d746d9df-ca66-a57c-bb12-72db80cdc878"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "834061",
"display": "Penicillin V Potassium 250 MG Oral Tablet"
} ],
"text": "Penicillin V Potassium 250 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 269.68,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:aaccd227-94ff-e743-7be3-1f7973f03f3a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "aaccd227-94ff-e743-7be3-1f7973f03f3a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
},
"effectiveDateTime": "2014-07-06T09:23:18+02:00",
"issued": "2014-07-06T09:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7ce8533d-0139-011e-ffa8-09c5b3a39015",
"resource": {
"resourceType": "DocumentReference",
"id": "7ce8533d-0139-011e-ffa8-09c5b3a39015",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:aaccd227-94ff-e743-7be3-1f7973f03f3a"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-07-06T09:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTQtMDctMDYKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE3IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBhY3V0ZSBiYWN0ZXJpYWwgc2ludXNpdGlzIChkaXNvcmRlciksIHJpc2sgYWN0aXZpdHkgaW52b2x2ZW1lbnQgKGZpbmRpbmcpLCBtZWRpY2F0aW9uIHJldmlldyBkdWUgKHNpdHVhdGlvbikuCgojIFNvY2lhbCBIaXN0b3J5CiBQYXRpZW50IGhhcyBuZXZlciBzbW9rZWQuCiBQYXRpZW50IGlkZW50aWZpZXMgYXMgaGV0ZXJvc2V4dWFsLgoKUGF0aWVudCBjb21lcyBmcm9tIGEgbWlkZGxlIHNvY2lvZWNvbm9taWMgYmFja2dyb3VuZC4KClBhdGllbnQgY3VycmVudGx5IGhhcyBNZWRpY2FpZC4KCiMgQWxsZXJnaWVzCk5vIEtub3duIEFsbGVyZ2llcy4KCiMgTWVkaWNhdGlvbnMKTm8gQWN0aXZlIE1lZGljYXRpb25zLgoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuClBhdGllbnQgaXMgcHJlc2VudGluZyB3aXRoIHN0cmVwdG9jb2NjYWwgc29yZSB0aHJvYXQgKGRpc29yZGVyKS4gCgojIyBQbGFuCgpUaGUgZm9sbG93aW5nIHByb2NlZHVyZXMgd2VyZSBjb25kdWN0ZWQ6Ci0gdGhyb2F0IGN1bHR1cmUgKHByb2NlZHVyZSkKVGhlIHBhdGllbnQgd2FzIHByZXNjcmliZWQgdGhlIGZvbGxvd2luZyBtZWRpY2F0aW9uczoKLSBwZW5pY2lsbGluIHYgcG90YXNzaXVtIDI1MCBtZyBvcmFsIHRhYmxldAo="
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ],
"period": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:a561d0d3-b229-783e-5948-ce34390c0560",
"resource": {
"resourceType": "Claim",
"id": "a561d0d3-b229-783e-5948-ce34390c0560",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"created": "2014-07-06T09:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:503c4df4-70c6-ce79-c540-35dc338c621d"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "43878008",
"display": "Streptococcal sore throat (disorder)"
} ],
"text": "Streptococcal sore throat (disorder)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"net": {
"value": 2256.94,
"currency": "USD"
}
} ],
"total": {
"value": 2342.49,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:febc9b30-0134-0a74-cff0-d994d652225b",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "febc9b30-0134-0a74-cff0-d994d652225b",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a561d0d3-b229-783e-5948-ce34390c0560"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-07-06T09:38:18+02:00",
"end": "2015-07-06T09:38:18+02:00"
},
"created": "2014-07-06T09:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:a561d0d3-b229-783e-5948-ce34390c0560"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "43878008",
"display": "Streptococcal sore throat (disorder)"
} ],
"text": "Streptococcal sore throat (disorder)"
},
"servicedPeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"servicedPeriod": {
"start": "2014-07-06T09:23:18+02:00",
"end": "2014-07-06T09:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 2256.94,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 451.38800000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 1805.5520000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 2256.94,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 2256.94,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 2342.49,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1805.5520000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9",
"resource": {
"resourceType": "Encounter",
"id": "4d7803a1-84b7-1732-d340-d62d558c10b9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "4d7803a1-84b7-1732-d340-d62d558c10b9"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "82423001",
"display": "Chronic pain (finding)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:c192080d-b249-396d-b1b3-b80a97ed13ac",
"resource": {
"resourceType": "Condition",
"id": "c192080d-b249-396d-b1b3-b80a97ed13ac",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "82423001",
"display": "Chronic pain (finding)"
} ],
"text": "Chronic pain (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"onsetDateTime": "2014-10-15T01:23:18+02:00",
"recordedDate": "2014-10-15T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:968e34e4-bd32-ffa1-ba34-306e0e9bcc99",
"resource": {
"resourceType": "Condition",
"id": "968e34e4-bd32-ffa1-ba34-306e0e9bcc99",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "278860009",
"display": "Chronic low back pain (finding)"
} ],
"text": "Chronic low back pain (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"onsetDateTime": "2014-10-15T01:23:18+02:00",
"recordedDate": "2014-10-15T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:45790eb8-b748-0117-5913-3d62abdfd16a",
"resource": {
"resourceType": "Condition",
"id": "45790eb8-b748-0117-5913-3d62abdfd16a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "1121000119107",
"display": "Chronic neck pain (finding)"
} ],
"text": "Chronic neck pain (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"onsetDateTime": "2014-10-15T01:23:18+02:00",
"recordedDate": "2014-10-15T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:ee1df825-11dd-126f-f50d-321f5bc2f255",
"resource": {
"resourceType": "Observation",
"id": "ee1df825-11dd-126f-f50d-321f5bc2f255",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91148-7",
"display": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale"
} ],
"text": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"effectiveDateTime": "2014-10-15T01:23:18+02:00",
"issued": "2014-10-15T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91146-1",
"display": "What number best describes how pain has interfered with your general activity during the past week"
} ],
"text": "What number best describes how pain has interfered with your general activity during the past week"
},
"valueQuantity": {
"value": 4.0118,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91145-3",
"display": "What number best describes how pain has interfered with your enjoyment of life during the past week"
} ],
"text": "What number best describes how pain has interfered with your enjoyment of life during the past week"
},
"valueQuantity": {
"value": 7.332,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75893-8",
"display": "Pain severity in the past week - 0-10 numeric rating [Reported]"
} ],
"text": "Pain severity in the past week - 0-10 numeric rating [Reported]"
},
"valueQuantity": {
"value": 7.0303,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9efba7be-d45a-82db-273e-08580a9405de",
"resource": {
"resourceType": "Observation",
"id": "9efba7be-d45a-82db-273e-08580a9405de",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "65750-2",
"display": "Drugs of abuse 5 panel - Urine by Screen method"
} ],
"text": "Drugs of abuse 5 panel - Urine by Screen method"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"effectiveDateTime": "2014-10-15T01:23:18+02:00",
"issued": "2014-10-15T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative (qualifier value)"
} ],
"text": "Negative (qualifier value)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f578d0f5-a009-2001-8729-b90eebac1322",
"resource": {
"resourceType": "MedicationRequest",
"id": "f578d0f5-a009-2001-8729-b90eebac1322",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"authoredOn": "2014-10-15T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:08d12fb7-ad11-3e5d-0421-71d351ac8e60",
"resource": {
"resourceType": "Claim",
"id": "08d12fb7-ad11-3e5d-0421-71d351ac8e60",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"created": "2014-10-15T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:f578d0f5-a009-2001-8729-b90eebac1322"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:63454422-8691-303a-32de-796a0c9b17de",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "63454422-8691-303a-32de-796a0c9b17de",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "08d12fb7-ad11-3e5d-0421-71d351ac8e60"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-10-15T01:38:18+02:00",
"end": "2015-10-15T01:38:18+02:00"
},
"created": "2014-10-15T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:08d12fb7-ad11-3e5d-0421-71d351ac8e60"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:5a9993e7-bde0-d257-9677-9ee698039c01",
"resource": {
"resourceType": "DiagnosticReport",
"id": "5a9993e7-bde0-d257-9677-9ee698039c01",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
},
"effectiveDateTime": "2014-10-15T01:23:18+02:00",
"issued": "2014-10-15T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:dcefa99d-e455-04ab-f33c-fb7cd4acfb7c",
"resource": {
"resourceType": "DocumentReference",
"id": "dcefa99d-e455-04ab-f33c-fb7cd4acfb7c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:5a9993e7-bde0-d257-9677-9ee698039c01"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-10-15T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
} ],
"period": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:b1dd0492-2bef-89d5-6e83-3a6aaafa3f58",
"resource": {
"resourceType": "Claim",
"id": "b1dd0492-2bef-89d5-6e83-3a6aaafa3f58",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"created": "2014-10-15T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c192080d-b249-396d-b1b3-b80a97ed13ac"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:968e34e4-bd32-ffa1-ba34-306e0e9bcc99"
}
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:45790eb8-b748-0117-5913-3d62abdfd16a"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "82423001",
"display": "Chronic pain (finding)"
} ],
"text": "Chronic pain (finding)"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "278860009",
"display": "Chronic low back pain (finding)"
} ],
"text": "Chronic low back pain (finding)"
}
}, {
"sequence": 4,
"diagnosisSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "1121000119107",
"display": "Chronic neck pain (finding)"
} ],
"text": "Chronic neck pain (finding)"
}
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:4819e26c-9ce9-a08f-ca93-cb608336f270",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "4819e26c-9ce9-a08f-ca93-cb608336f270",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "b1dd0492-2bef-89d5-6e83-3a6aaafa3f58"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-10-15T01:38:18+02:00",
"end": "2015-10-15T01:38:18+02:00"
},
"created": "2014-10-15T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:b1dd0492-2bef-89d5-6e83-3a6aaafa3f58"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c192080d-b249-396d-b1b3-b80a97ed13ac"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:968e34e4-bd32-ffa1-ba34-306e0e9bcc99"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:45790eb8-b748-0117-5913-3d62abdfd16a"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185347001",
"display": "Encounter for problem (procedure)"
} ],
"text": "Encounter for problem (procedure)"
},
"servicedPeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "82423001",
"display": "Chronic pain (finding)"
} ],
"text": "Chronic pain (finding)"
},
"servicedPeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "278860009",
"display": "Chronic low back pain (finding)"
} ],
"text": "Chronic low back pain (finding)"
},
"servicedPeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 4,
"diagnosisSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "1121000119107",
"display": "Chronic neck pain (finding)"
} ],
"text": "Chronic neck pain (finding)"
},
"servicedPeriod": {
"start": "2014-10-15T01:23:18+02:00",
"end": "2014-10-15T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce",
"resource": {
"resourceType": "Encounter",
"id": "884569bd-c94b-7f43-4bb3-d687ae2362ce",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"resource": {
"resourceType": "Condition",
"id": "42f1ead6-af4b-7833-8385-2832bf470c89",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ],
"text": "Essential hypertension (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"onsetDateTime": "2014-11-03T00:23:18+01:00",
"recordedDate": "2014-11-03T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:0ab48172-7b29-7122-b4a4-8184eefe324a",
"resource": {
"resourceType": "Condition",
"id": "0ab48172-7b29-7122-b4a4-8184eefe324a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"onsetDateTime": "2014-11-03T00:23:18+01:00",
"abatementDateTime": "2014-11-03T00:23:18+01:00",
"recordedDate": "2014-11-03T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:21995702-1f33-2008-32a4-8b8d13c6e9dd",
"resource": {
"resourceType": "Condition",
"id": "21995702-1f33-2008-32a4-8b8d13c6e9dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224299000",
"display": "Received higher education (finding)"
} ],
"text": "Received higher education (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"onsetDateTime": "2014-11-03T00:55:16+01:00",
"recordedDate": "2014-11-03T00:55:16+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:521654c8-7653-9d4e-e5de-24c42c667532",
"resource": {
"resourceType": "Condition",
"id": "521654c8-7653-9d4e-e5de-24c42c667532",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"onsetDateTime": "2014-11-03T00:55:16+01:00",
"abatementDateTime": "2015-11-09T01:02:03+01:00",
"recordedDate": "2014-11-03T00:55:16+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:f92a4e35-8589-0ea9-3a8f-ed39dc3ac407",
"resource": {
"resourceType": "Observation",
"id": "f92a4e35-8589-0ea9-3a8f-ed39dc3ac407",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.2,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f4eea682-93f4-fed1-92c0-108cd9f89fa0",
"resource": {
"resourceType": "Observation",
"id": "f4eea682-93f4-fed1-92c0-108cd9f89fa0",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0c7b929f-04eb-a0a9-48bb-2783ee1f1bdd",
"resource": {
"resourceType": "Observation",
"id": "0c7b929f-04eb-a0a9-48bb-2783ee1f1bdd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 79.2,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0a8aa1b2-90ab-4e20-fb2d-5f82528eccb9",
"resource": {
"resourceType": "Observation",
"id": "0a8aa1b2-90ab-4e20-fb2d-5f82528eccb9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 23.86,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:169b6238-66bd-c727-6472-6a217402505e",
"resource": {
"resourceType": "Observation",
"id": "169b6238-66bd-c727-6472-6a217402505e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 72.068,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cd9cdb3b-423e-7d17-b1c0-3ecb98947129",
"resource": {
"resourceType": "Observation",
"id": "cd9cdb3b-423e-7d17-b1c0-3ecb98947129",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 113,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 144,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9793c9ab-4eed-7e0e-0422-a4b6c828f90b",
"resource": {
"resourceType": "Observation",
"id": "9793c9ab-4eed-7e0e-0422-a4b6c828f90b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 78,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:20a8183d-7616-3144-d294-d593d711b7e7",
"resource": {
"resourceType": "Observation",
"id": "20a8183d-7616-3144-d294-d593d711b7e7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:652c381e-cae5-4f6e-1571-b996c9f561e4",
"resource": {
"resourceType": "Observation",
"id": "652c381e-cae5-4f6e-1571-b996c9f561e4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c4b2e7b2-59ad-cd5c-c318-fb9f3e8ef5ac",
"resource": {
"resourceType": "Observation",
"id": "c4b2e7b2-59ad-cd5c-c318-fb9f3e8ef5ac",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:55:16+01:00",
"issued": "2014-11-03T00:55:16.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30128-5",
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
} ],
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3b415323-0549-deee-fa1d-ed5116c01cc5",
"resource": {
"resourceType": "Observation",
"id": "3b415323-0549-deee-fa1d-ed5116c01cc5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T01:24:26+01:00",
"issued": "2014-11-03T01:24:26.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d08d34b4-fdd9-923f-17be-e418021a2f5b",
"resource": {
"resourceType": "Observation",
"id": "d08d34b4-fdd9-923f-17be-e418021a2f5b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T02:05:49+01:00",
"issued": "2014-11-03T02:05:49.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2cdd3bce-2fb3-54cf-47d6-cba8e4046110",
"resource": {
"resourceType": "Observation",
"id": "2cdd3bce-2fb3-54cf-47d6-cba8e4046110",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T02:41:11+01:00",
"issued": "2014-11-03T02:41:11.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:96700398-a8e8-5167-748f-b42e3c491ba5",
"resource": {
"resourceType": "Procedure",
"id": "96700398-a8e8-5167-748f-b42e3c491ba5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:08727778-eb21-f8f1-f786-d867750f5e32",
"resource": {
"resourceType": "Procedure",
"id": "08727778-eb21-f8f1-f786-d867750f5e32",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8ab5115d-7dd6-5435-5dd1-b4cafa238ac9",
"resource": {
"resourceType": "Procedure",
"id": "8ab5115d-7dd6-5435-5dd1-b4cafa238ac9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T00:55:16+01:00",
"end": "2014-11-03T01:24:26+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:73b99986-7843-0d6b-51cf-5e269ed5e14c",
"resource": {
"resourceType": "Procedure",
"id": "73b99986-7843-0d6b-51cf-5e269ed5e14c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T01:24:26+01:00",
"end": "2014-11-03T01:37:52+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a18b71dd-3ef3-0041-7749-fa251e57435e",
"resource": {
"resourceType": "Procedure",
"id": "a18b71dd-3ef3-0041-7749-fa251e57435e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T01:37:52+01:00",
"end": "2014-11-03T02:05:49+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:52030a05-8adb-aae0-7157-86073e5c1fc8",
"resource": {
"resourceType": "Procedure",
"id": "52030a05-8adb-aae0-7157-86073e5c1fc8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T02:05:49+01:00",
"end": "2014-11-03T02:18:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fcf3488d-9d6f-a740-32a4-2304e552321f",
"resource": {
"resourceType": "Procedure",
"id": "fcf3488d-9d6f-a740-32a4-2304e552321f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"performedPeriod": {
"start": "2014-11-03T02:18:18+01:00",
"end": "2014-11-03T02:41:11+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b5cc6a71-b22d-23cd-79c6-eea69c5b14ff",
"resource": {
"resourceType": "MedicationRequest",
"id": "b5cc6a71-b22d-23cd-79c6-eea69c5b14ff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"authoredOn": "2014-11-03T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:3e117408-80e0-9449-3ccf-a909d1f6c0d0",
"resource": {
"resourceType": "Claim",
"id": "3e117408-80e0-9449-3ccf-a909d1f6c0d0",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b5cc6a71-b22d-23cd-79c6-eea69c5b14ff"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e05a1580-0e79-0e7c-cd2e-f4b279081a96",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e05a1580-0e79-0e7c-cd2e-f4b279081a96",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "3e117408-80e0-9449-3ccf-a909d1f6c0d0"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-11-03T00:55:16+01:00",
"end": "2015-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:3e117408-80e0-9449-3ccf-a909d1f6c0d0"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:d53a419c-1ae9-6ce0-012e-261611a8ce6a",
"resource": {
"resourceType": "MedicationRequest",
"id": "d53a419c-1ae9-6ce0-012e-261611a8ce6a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"authoredOn": "2014-11-03T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:ea503393-2d7d-7201-28f1-8fa818c5564b",
"resource": {
"resourceType": "Claim",
"id": "ea503393-2d7d-7201-28f1-8fa818c5564b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:d53a419c-1ae9-6ce0-012e-261611a8ce6a"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
} ],
"total": {
"value": 1.14,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ea91629f-c2e5-5ed8-675b-0cdbf34d122c",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ea91629f-c2e5-5ed8-675b-0cdbf34d122c",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "ea503393-2d7d-7201-28f1-8fa818c5564b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-11-03T00:55:16+01:00",
"end": "2015-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:ea503393-2d7d-7201-28f1-8fa818c5564b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.14,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:1f82056a-844a-eebf-b054-aff3a0116084",
"resource": {
"resourceType": "DiagnosticReport",
"id": "1f82056a-844a-eebf-b054-aff3a0116084",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T01:24:26+01:00",
"issued": "2014-11-03T01:24:26.760+01:00",
"result": [ {
"reference": "urn:uuid:3b415323-0549-deee-fa1d-ed5116c01cc5",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:dc955e63-5a54-5672-55e3-653c02c4b310",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dc955e63-5a54-5672-55e3-653c02c4b310",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T02:05:49+01:00",
"issued": "2014-11-03T02:05:49.760+01:00",
"result": [ {
"reference": "urn:uuid:d08d34b4-fdd9-923f-17be-e418021a2f5b",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:cbe0b065-74e8-6363-b244-0761afe6fa60",
"resource": {
"resourceType": "DiagnosticReport",
"id": "cbe0b065-74e8-6363-b244-0761afe6fa60",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T02:41:11+01:00",
"issued": "2014-11-03T02:41:11.760+01:00",
"result": [ {
"reference": "urn:uuid:2cdd3bce-2fb3-54cf-47d6-cba8e4046110",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:16539b5e-f036-0e8f-c08f-cbc6a3898b58",
"resource": {
"resourceType": "CareTeam",
"id": "16539b5e-f036-0e8f-c08f-cbc6a3898b58",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam" ]
},
"status": "active",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"period": {
"start": "2014-11-03T00:23:18+01:00"
},
"participant": [ {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "116154003",
"display": "Patient"
} ],
"text": "Patient"
} ],
"member": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "223366009",
"display": "Healthcare professional (occupation)"
} ],
"text": "Healthcare professional (occupation)"
} ],
"member": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224891009",
"display": "Healthcare services (qualifier value)"
} ],
"text": "Healthcare services (qualifier value)"
} ],
"member": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ],
"text": "Essential hypertension (disorder)"
} ],
"managingOrganization": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
} ]
},
"request": {
"method": "POST",
"url": "CareTeam"
}
}, {
"fullUrl": "urn:uuid:c40f6290-8acb-c20b-99a7-a1d7a394f4b0",
"resource": {
"resourceType": "CarePlan",
"id": "c40f6290-8acb-c20b-99a7-a1d7a394f4b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Lifestyle education regarding hypertension.<br/>Care plan is meant to treat Essential hypertension (disorder).<br/>Activities: <ul><li>Lifestyle education regarding hypertension</li><li>Lifestyle education regarding hypertension</li><li>Lifestyle education regarding hypertension</li><li>Lifestyle education regarding hypertension</li></ul></div>"
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
} ]
}, {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "443402002",
"display": "Lifestyle education regarding hypertension"
} ],
"text": "Lifestyle education regarding hypertension"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"period": {
"start": "2014-11-03T00:23:18+01:00"
},
"careTeam": [ {
"reference": "urn:uuid:16539b5e-f036-0e8f-c08f-cbc6a3898b58"
} ],
"addresses": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
} ],
"activity": [ {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "386463000",
"display": "Prescribed activity/exercise education"
} ],
"text": "Prescribed activity/exercise education"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
} ],
"status": "in-progress",
"location": {
"display": "ACHIEVE WELLNESS, LLC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "413473000",
"display": "Counseling about alcohol consumption"
} ],
"text": "Counseling about alcohol consumption"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
} ],
"status": "in-progress",
"location": {
"display": "ACHIEVE WELLNESS, LLC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "1151000175103",
"display": "Dietary approaches to stop hypertension diet"
} ],
"text": "Dietary approaches to stop hypertension diet"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
} ],
"status": "in-progress",
"location": {
"display": "ACHIEVE WELLNESS, LLC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "225323000",
"display": "Smoking cessation education"
} ],
"text": "Smoking cessation education"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
} ],
"status": "in-progress",
"location": {
"display": "ACHIEVE WELLNESS, LLC"
}
}
} ]
},
"request": {
"method": "POST",
"url": "CarePlan"
}
}, {
"fullUrl": "urn:uuid:b355f9c8-1c78-c2ec-00a7-d8b8746f9403",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b355f9c8-1c78-c2ec-00a7-d8b8746f9403",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
},
"effectiveDateTime": "2014-11-03T00:23:18+01:00",
"issued": "2014-11-03T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:fbfe10f6-be92-fe91-b286-c3614d8a8151",
"resource": {
"resourceType": "DocumentReference",
"id": "fbfe10f6-be92-fe91-b286-c3614d8a8151",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b355f9c8-1c78-c2ec-00a7-d8b8746f9403"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-11-03T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ],
"period": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:2bdd1461-36bd-ff52-34ac-d8a03383d2e5",
"resource": {
"resourceType": "Claim",
"id": "2bdd1461-36bd-ff52-34ac-d8a03383d2e5",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:0ab48172-7b29-7122-b4a4-8184eefe324a"
}
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:21995702-1f33-2008-32a4-8b8d13c6e9dd"
}
}, {
"sequence": 4,
"diagnosisReference": {
"reference": "urn:uuid:521654c8-7653-9d4e-e5de-24c42c667532"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:96700398-a8e8-5167-748f-b42e3c491ba5"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:08727778-eb21-f8f1-f786-d867750f5e32"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:8ab5115d-7dd6-5435-5dd1-b4cafa238ac9"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:73b99986-7843-0d6b-51cf-5e269ed5e14c"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:a18b71dd-3ef3-0041-7749-fa251e57435e"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:52030a05-8adb-aae0-7157-86073e5c1fc8"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:fcf3488d-9d6f-a740-32a4-2304e552321f"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ],
"text": "Essential hypertension (disorder)"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 469.47,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"diagnosisSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224299000",
"display": "Received higher education (finding)"
} ],
"text": "Received higher education (finding)"
}
}, {
"sequence": 7,
"diagnosisSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
}
}, {
"sequence": 8,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 10,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 13,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 14,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 15,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1037.67,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:c9312c6d-66c1-fd62-10b7-3963d1319698",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "c9312c6d-66c1-fd62-10b7-3963d1319698",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2bdd1461-36bd-ff52-34ac-d8a03383d2e5"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-11-03T00:55:16+01:00",
"end": "2015-11-03T00:55:16+01:00"
},
"created": "2014-11-03T00:55:16+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:2bdd1461-36bd-ff52-34ac-d8a03383d2e5"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:0ab48172-7b29-7122-b4a4-8184eefe324a"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:21995702-1f33-2008-32a4-8b8d13c6e9dd"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 4,
"diagnosisReference": {
"reference": "urn:uuid:521654c8-7653-9d4e-e5de-24c42c667532"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ],
"text": "Essential hypertension (disorder)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 469.47,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 93.894,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 375.576,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 469.47,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 469.47,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"diagnosisSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224299000",
"display": "Received higher education (finding)"
} ],
"text": "Received higher education (finding)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 7,
"diagnosisSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 14,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 15,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2014-11-03T00:23:18+01:00",
"end": "2014-11-03T00:55:16+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1037.67,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2625.288,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26",
"resource": {
"resourceType": "Encounter",
"id": "61243cc0-61f0-d9a4-f081-062165995f26",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "61243cc0-61f0-d9a4-f081-062165995f26"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:25d36276-08de-2e7a-5e7a-9c6b7c336555",
"resource": {
"resourceType": "Observation",
"id": "25d36276-08de-2e7a-5e7a-9c6b7c336555",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
},
"effectiveDateTime": "2014-12-03T00:23:18+01:00",
"issued": "2014-12-03T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 96,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 130,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1f4f2413-8527-b883-3c4e-3e637a1ba3bb",
"resource": {
"resourceType": "MedicationRequest",
"id": "1f4f2413-8527-b883-3c4e-3e637a1ba3bb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
},
"authoredOn": "2014-12-03T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:9a8a0926-d39a-9c60-aa7e-7e7a4d096980",
"resource": {
"resourceType": "Claim",
"id": "9a8a0926-d39a-9c60-aa7e-7e7a4d096980",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"created": "2014-12-03T00:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:1f4f2413-8527-b883-3c4e-3e637a1ba3bb"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:db43cf2a-9950-8287-f38a-f8ad57b557a5",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "db43cf2a-9950-8287-f38a-f8ad57b557a5",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9a8a0926-d39a-9c60-aa7e-7e7a4d096980"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-03T00:38:18+01:00",
"end": "2015-12-03T00:38:18+01:00"
},
"created": "2014-12-03T00:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:9a8a0926-d39a-9c60-aa7e-7e7a4d096980"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:4364ab39-b121-e655-bb20-c137656779a9",
"resource": {
"resourceType": "DiagnosticReport",
"id": "4364ab39-b121-e655-bb20-c137656779a9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
},
"effectiveDateTime": "2014-12-03T00:23:18+01:00",
"issued": "2014-12-03T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:bcd7ad6d-08c5-5b02-e972-512ae97548a4",
"resource": {
"resourceType": "DocumentReference",
"id": "bcd7ad6d-08c5-5b02-e972-512ae97548a4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:4364ab39-b121-e655-bb20-c137656779a9"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-12-03T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
} ],
"period": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:d3f7fb42-e8ae-5aa5-7589-d1a78106e002",
"resource": {
"resourceType": "Claim",
"id": "d3f7fb42-e8ae-5aa5-7589-d1a78106e002",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"created": "2014-12-03T00:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:6bf62d4d-fe2b-a07a-ff4a-a5af1ad1ab73",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "6bf62d4d-fe2b-a07a-ff4a-a5af1ad1ab73",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d3f7fb42-e8ae-5aa5-7589-d1a78106e002"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-03T00:38:18+01:00",
"end": "2015-12-03T00:38:18+01:00"
},
"created": "2014-12-03T00:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:d3f7fb42-e8ae-5aa5-7589-d1a78106e002"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"servicedPeriod": {
"start": "2014-12-03T00:23:18+01:00",
"end": "2014-12-03T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38",
"resource": {
"resourceType": "Encounter",
"id": "b173306b-b70f-d9f5-8a81-020952f12d38",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "b173306b-b70f-d9f5-8a81-020952f12d38"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "82423001",
"display": "Chronic pain (finding)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:d64bce49-d8e2-2025-0d35-b6ea6e4fc010",
"resource": {
"resourceType": "Observation",
"id": "d64bce49-d8e2-2025-0d35-b6ea6e4fc010",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "65750-2",
"display": "Drugs of abuse 5 panel - Urine by Screen method"
} ],
"text": "Drugs of abuse 5 panel - Urine by Screen method"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"effectiveDateTime": "2014-12-09T05:23:18+01:00",
"issued": "2014-12-09T05:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "260385009",
"display": "Negative (qualifier value)"
} ],
"text": "Negative (qualifier value)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:de0f3089-afc0-7a65-4d76-ca45d966178a",
"resource": {
"resourceType": "Observation",
"id": "de0f3089-afc0-7a65-4d76-ca45d966178a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91148-7",
"display": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale"
} ],
"text": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"effectiveDateTime": "2014-12-09T05:23:18+01:00",
"issued": "2014-12-09T05:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91146-1",
"display": "What number best describes how pain has interfered with your general activity during the past week"
} ],
"text": "What number best describes how pain has interfered with your general activity during the past week"
},
"valueQuantity": {
"value": 9.6455,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "91145-3",
"display": "What number best describes how pain has interfered with your enjoyment of life during the past week"
} ],
"text": "What number best describes how pain has interfered with your enjoyment of life during the past week"
},
"valueQuantity": {
"value": 2.4558,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75893-8",
"display": "Pain severity in the past week - 0-10 numeric rating [Reported]"
} ],
"text": "Pain severity in the past week - 0-10 numeric rating [Reported]"
},
"valueQuantity": {
"value": 1.311,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bebaa9c9-ddf0-74f3-69b3-7a59b5090471",
"resource": {
"resourceType": "MedicationRequest",
"id": "bebaa9c9-ddf0-74f3-69b3-7a59b5090471",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"authoredOn": "2014-12-09T05:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:f67472ec-bf25-4767-fbd6-584058c97d4c",
"resource": {
"resourceType": "Claim",
"id": "f67472ec-bf25-4767-fbd6-584058c97d4c",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"created": "2014-12-09T05:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:bebaa9c9-ddf0-74f3-69b3-7a59b5090471"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:77c81c88-1150-3da1-9013-4524dfb512bf",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "77c81c88-1150-3da1-9013-4524dfb512bf",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f67472ec-bf25-4767-fbd6-584058c97d4c"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-09T05:38:18+01:00",
"end": "2015-12-09T05:38:18+01:00"
},
"created": "2014-12-09T05:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:f67472ec-bf25-4767-fbd6-584058c97d4c"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7a6c668f-6bee-0459-cba6-0359162a34ef",
"resource": {
"resourceType": "CareTeam",
"id": "7a6c668f-6bee-0459-cba6-0359162a34ef",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam" ]
},
"status": "active",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"period": {
"start": "2014-12-09T05:23:18+01:00"
},
"participant": [ {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "116154003",
"display": "Patient"
} ],
"text": "Patient"
} ],
"member": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "223366009",
"display": "Healthcare professional (occupation)"
} ],
"text": "Healthcare professional (occupation)"
} ],
"member": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224891009",
"display": "Healthcare services (qualifier value)"
} ],
"text": "Healthcare services (qualifier value)"
} ],
"member": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"managingOrganization": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
} ]
},
"request": {
"method": "POST",
"url": "CareTeam"
}
}, {
"fullUrl": "urn:uuid:134faca0-7c25-b970-45e3-c44bf931db59",
"resource": {
"resourceType": "CarePlan",
"id": "134faca0-7c25-b970-45e3-c44bf931db59",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Therapy (regime/therapy).<br/>Activities: <ul><li>Therapy (regime/therapy)</li><li>Therapy (regime/therapy)</li></ul></div>"
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
} ]
}, {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "276239002",
"display": "Therapy (regime/therapy)"
} ],
"text": "Therapy (regime/therapy)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"period": {
"start": "2014-12-09T05:23:18+01:00"
},
"careTeam": [ {
"reference": "urn:uuid:7a6c668f-6bee-0459-cba6-0359162a34ef"
} ],
"activity": [ {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"status": "in-progress",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "228557008",
"display": "Cognitive and behavioral therapy (regime/therapy)"
} ],
"text": "Cognitive and behavioral therapy (regime/therapy)"
},
"status": "in-progress",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
} ]
},
"request": {
"method": "POST",
"url": "CarePlan"
}
}, {
"fullUrl": "urn:uuid:f3cacf3d-52a7-4e3c-c4e1-1c8f3197a633",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f3cacf3d-52a7-4e3c-c4e1-1c8f3197a633",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
},
"effectiveDateTime": "2014-12-09T05:23:18+01:00",
"issued": "2014-12-09T05:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d8201d85-0145-9d03-5adf-d40db3b02bfb",
"resource": {
"resourceType": "DocumentReference",
"id": "d8201d85-0145-9d03-5adf-d40db3b02bfb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:f3cacf3d-52a7-4e3c-c4e1-1c8f3197a633"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2014-12-09T05:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
} ],
"period": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:d56017f7-1863-ccc8-bcd5-731454c87cd6",
"resource": {
"resourceType": "Claim",
"id": "d56017f7-1863-ccc8-bcd5-731454c87cd6",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"created": "2014-12-09T05:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:95acb049-6344-9c8c-5f56-ec79f995d629",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "95acb049-6344-9c8c-5f56-ec79f995d629",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d56017f7-1863-ccc8-bcd5-731454c87cd6"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2014-12-09T05:38:18+01:00",
"end": "2015-12-09T05:38:18+01:00"
},
"created": "2014-12-09T05:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:d56017f7-1863-ccc8-bcd5-731454c87cd6"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"servicedPeriod": {
"start": "2014-12-09T05:23:18+01:00",
"end": "2014-12-09T05:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4",
"resource": {
"resourceType": "Encounter",
"id": "13ff3ed8-ac0a-3dac-de42-908627a1d3a4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-02-01T00:23:18+01:00",
"end": "2015-02-01T00:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2015-02-01T00:23:18+01:00",
"end": "2015-02-01T00:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:f08b4d6c-e331-2e5e-c80f-f709919dfc9e",
"resource": {
"resourceType": "Observation",
"id": "f08b4d6c-e331-2e5e-c80f-f709919dfc9e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
},
"effectiveDateTime": "2015-02-01T00:23:18+01:00",
"issued": "2015-02-01T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 79,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 115,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:beef96ef-3a0a-c5ef-9ddf-eee60b211341",
"resource": {
"resourceType": "DiagnosticReport",
"id": "beef96ef-3a0a-c5ef-9ddf-eee60b211341",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
},
"effectiveDateTime": "2015-02-01T00:23:18+01:00",
"issued": "2015-02-01T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0191d7ad-3a65-afb7-b3fc-66a4bd25663f",
"resource": {
"resourceType": "DocumentReference",
"id": "0191d7ad-3a65-afb7-b3fc-66a4bd25663f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:beef96ef-3a0a-c5ef-9ddf-eee60b211341"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2015-02-01T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
} ],
"period": {
"start": "2015-02-01T00:23:18+01:00",
"end": "2015-02-01T00:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:aa7a0f3a-8993-f134-0f18-158d5a64f014",
"resource": {
"resourceType": "Claim",
"id": "aa7a0f3a-8993-f134-0f18-158d5a64f014",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2015-02-01T00:23:18+01:00",
"end": "2015-02-01T00:38:18+01:00"
},
"created": "2015-02-01T00:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f0fa9ffd-e950-a83d-0968-6932a7b57d5c",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f0fa9ffd-e950-a83d-0968-6932a7b57d5c",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "aa7a0f3a-8993-f134-0f18-158d5a64f014"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-02-01T00:38:18+01:00",
"end": "2016-02-01T00:38:18+01:00"
},
"created": "2015-02-01T00:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:aa7a0f3a-8993-f134-0f18-158d5a64f014"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"servicedPeriod": {
"start": "2015-02-01T00:23:18+01:00",
"end": "2015-02-01T00:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b",
"resource": {
"resourceType": "Encounter",
"id": "32da40c3-c427-7631-76a3-9a2f341bff6b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "32da40c3-c427-7631-76a3-9a2f341bff6b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-04-02T01:23:18+02:00",
"end": "2015-04-02T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2015-04-02T01:23:18+02:00",
"end": "2015-04-02T01:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "59621000",
"display": "Essential hypertension (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:bee11646-9ced-eea2-39a2-3b6d7626354b",
"resource": {
"resourceType": "Observation",
"id": "bee11646-9ced-eea2-39a2-3b6d7626354b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
},
"effectiveDateTime": "2015-04-02T01:23:18+02:00",
"issued": "2015-04-02T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 87,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 114,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:51fbd2c1-0480-475f-497e-92778d32b1ee",
"resource": {
"resourceType": "DiagnosticReport",
"id": "51fbd2c1-0480-475f-497e-92778d32b1ee",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
},
"effectiveDateTime": "2015-04-02T01:23:18+02:00",
"issued": "2015-04-02T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:eb213055-cc07-b759-7e75-a811e2056b9f",
"resource": {
"resourceType": "DocumentReference",
"id": "eb213055-cc07-b759-7e75-a811e2056b9f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:51fbd2c1-0480-475f-497e-92778d32b1ee"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2015-04-02T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
} ],
"period": {
"start": "2015-04-02T01:23:18+02:00",
"end": "2015-04-02T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:6151aeda-fb38-0dbb-9414-71b5d6cf9afc",
"resource": {
"resourceType": "Claim",
"id": "6151aeda-fb38-0dbb-9414-71b5d6cf9afc",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2015-04-02T01:23:18+02:00",
"end": "2015-04-02T01:38:18+02:00"
},
"created": "2015-04-02T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
} ]
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:db37cee5-8e81-9ef4-01e0-bfaa31c8d4e7",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "db37cee5-8e81-9ef4-01e0-bfaa31c8d4e7",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6151aeda-fb38-0dbb-9414-71b5d6cf9afc"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-04-02T01:38:18+02:00",
"end": "2016-04-02T01:38:18+02:00"
},
"created": "2015-04-02T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:6151aeda-fb38-0dbb-9414-71b5d6cf9afc"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "390906007",
"display": "Follow-up encounter (procedure)"
} ],
"text": "Follow-up encounter (procedure)"
},
"servicedPeriod": {
"start": "2015-04-02T01:23:18+02:00",
"end": "2015-04-02T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434",
"resource": {
"resourceType": "Encounter",
"id": "5fed79e7-22bc-9f37-4288-1d8ec6d06434",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:80469964-9c0e-c007-033c-addbcf4584d0",
"resource": {
"resourceType": "Condition",
"id": "80469964-9c0e-c007-033c-addbcf4584d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"onsetDateTime": "2015-11-09T00:23:18+01:00",
"abatementDateTime": "2016-04-04T01:23:18+02:00",
"recordedDate": "2015-11-09T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:ad43ae8c-0051-eeb0-3925-62a5947799ed",
"resource": {
"resourceType": "Condition",
"id": "ad43ae8c-0051-eeb0-3925-62a5947799ed",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "741062008",
"display": "Not in labor force (finding)"
} ],
"text": "Not in labor force (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"onsetDateTime": "2015-11-09T01:02:03+01:00",
"abatementDateTime": "2016-04-04T02:06:27+02:00",
"recordedDate": "2015-11-09T01:02:03+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:94dc9382-e727-2d3a-464e-f351f019c258",
"resource": {
"resourceType": "Condition",
"id": "94dc9382-e727-2d3a-464e-f351f019c258",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"onsetDateTime": "2015-11-09T01:02:03+01:00",
"abatementDateTime": "2016-03-21T00:54:53+01:00",
"recordedDate": "2015-11-09T01:02:03+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:f85e36d0-18c0-7850-efac-a2b1adf04404",
"resource": {
"resourceType": "Observation",
"id": "f85e36d0-18c0-7850-efac-a2b1adf04404",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.6,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ea93ee49-2a05-2268-d372-496d85408a4a",
"resource": {
"resourceType": "Observation",
"id": "ea93ee49-2a05-2268-d372-496d85408a4a",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1dcaf461-2c1d-2dc2-41ce-6524e428e0af",
"resource": {
"resourceType": "Observation",
"id": "1dcaf461-2c1d-2dc2-41ce-6524e428e0af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 86.3,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0360f94c-a3b7-695f-2bd6-5a1be520d85e",
"resource": {
"resourceType": "Observation",
"id": "0360f94c-a3b7-695f-2bd6-5a1be520d85e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 25.87,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2f12766f-caed-a3ab-1a8f-6cb78909d85a",
"resource": {
"resourceType": "Observation",
"id": "2f12766f-caed-a3ab-1a8f-6cb78909d85a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 81.639,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:040d2c6c-e804-d942-c522-8ab2377e5a27",
"resource": {
"resourceType": "Observation",
"id": "040d2c6c-e804-d942-c522-8ab2377e5a27",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 79,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 104,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9f5c2ace-7046-a7d6-458b-63a5742fd410",
"resource": {
"resourceType": "Observation",
"id": "9f5c2ace-7046-a7d6-458b-63a5742fd410",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 66,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1af74c97-1348-02a4-0eb3-52a1a5f6428b",
"resource": {
"resourceType": "Observation",
"id": "1af74c97-1348-02a4-0eb3-52a1a5f6428b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueQuantity": {
"value": 16,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:fe9dd955-1b9a-c082-c4d0-011421a9f298",
"resource": {
"resourceType": "Observation",
"id": "fe9dd955-1b9a-c082-c4d0-011421a9f298",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e9e8f4a6-8eab-f864-ffda-5649b6240d77",
"resource": {
"resourceType": "Observation",
"id": "e9e8f4a6-8eab-f864-ffda-5649b6240d77",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T01:02:03+01:00",
"issued": "2015-11-09T01:02:03.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
} ],
"text": "A little bit"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30122-8",
"display": "I choose not to answer this question"
} ],
"text": "I choose not to answer this question"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30137-6",
"display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
} ],
"text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9c9ee046-094c-a929-7761-84f5a2e10f9b",
"resource": {
"resourceType": "Observation",
"id": "9c9ee046-094c-a929-7761-84f5a2e10f9b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T01:42:43+01:00",
"issued": "2015-11-09T01:42:43.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c4415bed-97fe-3332-e258-fef11a97dcd6",
"resource": {
"resourceType": "Observation",
"id": "c4415bed-97fe-3332-e258-fef11a97dcd6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T02:21:40+01:00",
"issued": "2015-11-09T02:21:40.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e30af6b3-9321-07b8-67ea-d6b8509d205c",
"resource": {
"resourceType": "Procedure",
"id": "e30af6b3-9321-07b8-67ea-d6b8509d205c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"performedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9ababfd3-88be-2251-8275-5e06c4f9eae8",
"resource": {
"resourceType": "Procedure",
"id": "9ababfd3-88be-2251-8275-5e06c4f9eae8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"performedPeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2015-11-09T01:16:47+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6cc6b354-8b1b-b168-569e-ee83009b0a56",
"resource": {
"resourceType": "Procedure",
"id": "6cc6b354-8b1b-b168-569e-ee83009b0a56",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"performedPeriod": {
"start": "2015-11-09T01:16:47+01:00",
"end": "2015-11-09T01:42:43+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:28486d48-91ec-fbcb-a14c-018207a67b68",
"resource": {
"resourceType": "Procedure",
"id": "28486d48-91ec-fbcb-a14c-018207a67b68",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"performedPeriod": {
"start": "2015-11-09T01:42:43+01:00",
"end": "2015-11-09T01:53:25+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:5549b913-1838-3220-7eaa-d4dda71e55d3",
"resource": {
"resourceType": "Procedure",
"id": "5549b913-1838-3220-7eaa-d4dda71e55d3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"performedPeriod": {
"start": "2015-11-09T01:53:25+01:00",
"end": "2015-11-09T02:21:40+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7bc400ed-ccdd-2352-2f1a-bdc0b51bf689",
"resource": {
"resourceType": "MedicationRequest",
"id": "7bc400ed-ccdd-2352-2f1a-bdc0b51bf689",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"authoredOn": "2015-11-09T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:f63f714a-2f5d-dc3c-d690-70120f64b170",
"resource": {
"resourceType": "Claim",
"id": "f63f714a-2f5d-dc3c-d690-70120f64b170",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:7bc400ed-ccdd-2352-2f1a-bdc0b51bf689"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f9eac365-e621-e641-724f-4e18371b7996",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f9eac365-e621-e641-724f-4e18371b7996",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f63f714a-2f5d-dc3c-d690-70120f64b170"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2016-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:f63f714a-2f5d-dc3c-d690-70120f64b170"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:3f624220-6bc4-10f2-1784-dc6311efab31",
"resource": {
"resourceType": "MedicationRequest",
"id": "3f624220-6bc4-10f2-1784-dc6311efab31",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"authoredOn": "2015-11-09T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:cf228154-ffd7-d3f1-e14c-1eb149d4c9ab",
"resource": {
"resourceType": "Claim",
"id": "cf228154-ffd7-d3f1-e14c-1eb149d4c9ab",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:3f624220-6bc4-10f2-1784-dc6311efab31"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0496b458-7bfe-54ff-5a29-3c2516a21823",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0496b458-7bfe-54ff-5a29-3c2516a21823",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "cf228154-ffd7-d3f1-e14c-1eb149d4c9ab"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2016-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:cf228154-ffd7-d3f1-e14c-1eb149d4c9ab"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:67f0f46d-21fc-9395-9b13-d15de2f36e9e",
"resource": {
"resourceType": "MedicationRequest",
"id": "67f0f46d-21fc-9395-9b13-d15de2f36e9e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"authoredOn": "2015-11-09T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:277b4c2a-3176-6eef-470e-a37849328aa3",
"resource": {
"resourceType": "Claim",
"id": "277b4c2a-3176-6eef-470e-a37849328aa3",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:67f0f46d-21fc-9395-9b13-d15de2f36e9e"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:bead2de0-4d17-c3e9-70fe-2773a1902874",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "bead2de0-4d17-c3e9-70fe-2773a1902874",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "277b4c2a-3176-6eef-470e-a37849328aa3"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2016-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:277b4c2a-3176-6eef-470e-a37849328aa3"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:74cc8f41-52ba-6b5c-e6b6-fa8e66bb8a50",
"resource": {
"resourceType": "MedicationRequest",
"id": "74cc8f41-52ba-6b5c-e6b6-fa8e66bb8a50",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"authoredOn": "2015-11-09T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:d00174eb-1e40-b8eb-d5a0-6b4ccb6950f9",
"resource": {
"resourceType": "Claim",
"id": "d00174eb-1e40-b8eb-d5a0-6b4ccb6950f9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:74cc8f41-52ba-6b5c-e6b6-fa8e66bb8a50"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": {
"value": 0.92,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b9c56f77-41d4-d26a-0717-51096c9e1651",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b9c56f77-41d4-d26a-0717-51096c9e1651",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d00174eb-1e40-b8eb-d5a0-6b4ccb6950f9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2016-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:d00174eb-1e40-b8eb-d5a0-6b4ccb6950f9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.92,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e2c02cc1-33f8-557c-8697-4f9dba99f2b0",
"resource": {
"resourceType": "Immunization",
"id": "e2c02cc1-33f8-557c-8697-4f9dba99f2b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"occurrenceDateTime": "2015-11-09T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:1796f596-f456-562f-5c12-224b3b0b9265",
"resource": {
"resourceType": "DiagnosticReport",
"id": "1796f596-f456-562f-5c12-224b3b0b9265",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T01:42:43+01:00",
"issued": "2015-11-09T01:42:43.760+01:00",
"result": [ {
"reference": "urn:uuid:9c9ee046-094c-a929-7761-84f5a2e10f9b",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:836de7ba-8825-b365-2653-7548802dfdae",
"resource": {
"resourceType": "DiagnosticReport",
"id": "836de7ba-8825-b365-2653-7548802dfdae",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T02:21:40+01:00",
"issued": "2015-11-09T02:21:40.760+01:00",
"result": [ {
"reference": "urn:uuid:c4415bed-97fe-3332-e258-fef11a97dcd6",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7cbc003a-ecc5-e401-6c34-2c3655500aaa",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7cbc003a-ecc5-e401-6c34-2c3655500aaa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
},
"effectiveDateTime": "2015-11-09T00:23:18+01:00",
"issued": "2015-11-09T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:85b9254b-3ed8-f259-deee-6cc70038cd9d",
"resource": {
"resourceType": "DocumentReference",
"id": "85b9254b-3ed8-f259-deee-6cc70038cd9d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:7cbc003a-ecc5-e401-6c34-2c3655500aaa"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2015-11-09T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ],
"period": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:41dec413-7a85-5bb7-0a40-930519ea40ee",
"resource": {
"resourceType": "Claim",
"id": "41dec413-7a85-5bb7-0a40-930519ea40ee",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:e2c02cc1-33f8-557c-8697-4f9dba99f2b0"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:80469964-9c0e-c007-033c-addbcf4584d0"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:ad43ae8c-0051-eeb0-3925-62a5947799ed"
}
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:94dc9382-e727-2d3a-464e-f351f019c258"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:e30af6b3-9321-07b8-67ea-d6b8509d205c"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:9ababfd3-88be-2251-8275-5e06c4f9eae8"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:6cc6b354-8b1b-b168-569e-ee83009b0a56"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:28486d48-91ec-fbcb-a14c-018207a67b68"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:5549b913-1838-3220-7eaa-d4dda71e55d3"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "741062008",
"display": "Not in labor force (finding)"
} ],
"text": "Not in labor force (finding)"
}
}, {
"sequence": 6,
"diagnosisSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
}
}, {
"sequence": 7,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 10,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 704.20,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:2ba778be-85cb-9f39-be2f-4559298ec38e",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "2ba778be-85cb-9f39-be2f-4559298ec38e",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "41dec413-7a85-5bb7-0a40-930519ea40ee"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2015-11-09T01:02:03+01:00",
"end": "2016-11-09T01:02:03+01:00"
},
"created": "2015-11-09T01:02:03+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:41dec413-7a85-5bb7-0a40-930519ea40ee"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:80469964-9c0e-c007-033c-addbcf4584d0"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:ad43ae8c-0051-eeb0-3925-62a5947799ed"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:94dc9382-e727-2d3a-464e-f351f019c258"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "741062008",
"display": "Not in labor force (finding)"
} ],
"text": "Not in labor force (finding)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 6,
"diagnosisSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2015-11-09T00:23:18+01:00",
"end": "2015-11-09T01:02:03+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 704.20,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1953.7279999999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad",
"resource": {
"resourceType": "Encounter",
"id": "77bf7e16-c7cb-7ded-71f1-9de3444529ad",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:e7452716-e4a3-607d-861f-f8e1fd61a751",
"resource": {
"resourceType": "Observation",
"id": "e7452716-e4a3-607d-861f-f8e1fd61a751",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.7,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:32301224-e224-bd1c-b91a-927502d026ec",
"resource": {
"resourceType": "Observation",
"id": "32301224-e224-bd1c-b91a-927502d026ec",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:581edad7-5fc1-6149-4a65-f7bab307a385",
"resource": {
"resourceType": "Observation",
"id": "581edad7-5fc1-6149-4a65-f7bab307a385",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 86.6,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6f6c0c17-17e9-c20a-6572-41ac1ffa633e",
"resource": {
"resourceType": "Observation",
"id": "6f6c0c17-17e9-c20a-6572-41ac1ffa633e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 25.94,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6ce8e960-f5ce-bec8-da66-798ce627954f",
"resource": {
"resourceType": "Observation",
"id": "6ce8e960-f5ce-bec8-da66-798ce627954f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 80.73,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b42d5cb2-a248-3621-3df3-72520b17dcdd",
"resource": {
"resourceType": "Observation",
"id": "b42d5cb2-a248-3621-3df3-72520b17dcdd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 79,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 104,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0f571ac6-2a6c-b7c1-1cda-9684cb3cc0bc",
"resource": {
"resourceType": "Observation",
"id": "0f571ac6-2a6c-b7c1-1cda-9684cb3cc0bc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 92,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b91a733b-190f-a1d4-d36b-3ed7fa9e3e24",
"resource": {
"resourceType": "Observation",
"id": "b91a733b-190f-a1d4-d36b-3ed7fa9e3e24",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a6c69966-826f-ef42-519c-f16e9e1e8e59",
"resource": {
"resourceType": "Observation",
"id": "a6c69966-826f-ef42-519c-f16e9e1e8e59",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:132ba825-e355-0e84-67d8-535d69faba33",
"resource": {
"resourceType": "Observation",
"id": "132ba825-e355-0e84-67d8-535d69faba33",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:54:53+01:00",
"issued": "2016-03-21T00:54:53.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30126-9",
"display": "Clothing"
} ],
"text": "Clothing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30137-6",
"display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
} ],
"text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:25be9222-01c3-1519-19e8-737701f47665",
"resource": {
"resourceType": "Observation",
"id": "25be9222-01c3-1519-19e8-737701f47665",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T01:10:03+01:00",
"issued": "2016-03-21T01:10:03.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:38e0d94e-f90e-706b-05f1-3a93e8ca35e5",
"resource": {
"resourceType": "Observation",
"id": "38e0d94e-f90e-706b-05f1-3a93e8ca35e5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T01:42:40+01:00",
"issued": "2016-03-21T01:42:40.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1889a07b-d166-c5a4-05f7-fdf06da92982",
"resource": {
"resourceType": "Procedure",
"id": "1889a07b-d166-c5a4-05f7-fdf06da92982",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"performedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:33c4de11-542b-526f-f09f-790ef5d3a76c",
"resource": {
"resourceType": "Procedure",
"id": "33c4de11-542b-526f-f09f-790ef5d3a76c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"performedPeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2016-03-21T01:10:03+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9ad159bd-ee65-f46a-8842-3d9b0a4bed42",
"resource": {
"resourceType": "Procedure",
"id": "9ad159bd-ee65-f46a-8842-3d9b0a4bed42",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"performedPeriod": {
"start": "2016-03-21T01:10:03+01:00",
"end": "2016-03-21T01:21:54+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a7b41336-a2c3-016c-96d3-c08a3d7443bc",
"resource": {
"resourceType": "Procedure",
"id": "a7b41336-a2c3-016c-96d3-c08a3d7443bc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"performedPeriod": {
"start": "2016-03-21T01:21:54+01:00",
"end": "2016-03-21T01:42:40+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b5e778bf-0272-7977-8651-a556a6136a8f",
"resource": {
"resourceType": "MedicationRequest",
"id": "b5e778bf-0272-7977-8651-a556a6136a8f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"authoredOn": "2016-03-21T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:1d9cfd3f-f202-2526-1672-97a1fcf97ef6",
"resource": {
"resourceType": "Claim",
"id": "1d9cfd3f-f202-2526-1672-97a1fcf97ef6",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b5e778bf-0272-7977-8651-a556a6136a8f"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7c47da0e-3cc1-e4cf-f4ad-bb3773bb7823",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7c47da0e-3cc1-e4cf-f4ad-bb3773bb7823",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1d9cfd3f-f202-2526-1672-97a1fcf97ef6"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2017-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:1d9cfd3f-f202-2526-1672-97a1fcf97ef6"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:1616c622-9d02-d4e6-3a85-26f81ee238c9",
"resource": {
"resourceType": "MedicationRequest",
"id": "1616c622-9d02-d4e6-3a85-26f81ee238c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"authoredOn": "2016-03-21T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:ff14e2cf-eb3a-a6cc-448d-371e32da4c83",
"resource": {
"resourceType": "Claim",
"id": "ff14e2cf-eb3a-a6cc-448d-371e32da4c83",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:1616c622-9d02-d4e6-3a85-26f81ee238c9"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:85b3a1ec-1199-ca81-1ee8-e9726fac5df1",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "85b3a1ec-1199-ca81-1ee8-e9726fac5df1",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "ff14e2cf-eb3a-a6cc-448d-371e32da4c83"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2017-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:ff14e2cf-eb3a-a6cc-448d-371e32da4c83"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:4c24f480-4886-01ad-1449-925c7841b32b",
"resource": {
"resourceType": "MedicationRequest",
"id": "4c24f480-4886-01ad-1449-925c7841b32b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"authoredOn": "2016-03-21T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:30f633ec-dbad-bac0-c163-484c8f998291",
"resource": {
"resourceType": "Claim",
"id": "30f633ec-dbad-bac0-c163-484c8f998291",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:4c24f480-4886-01ad-1449-925c7841b32b"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e0c7c8aa-246e-fcad-848a-f7b36e26c948",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e0c7c8aa-246e-fcad-848a-f7b36e26c948",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "30f633ec-dbad-bac0-c163-484c8f998291"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2017-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:30f633ec-dbad-bac0-c163-484c8f998291"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:5533a5f7-7b20-85d7-b7cf-7d7056e545d7",
"resource": {
"resourceType": "MedicationRequest",
"id": "5533a5f7-7b20-85d7-b7cf-7d7056e545d7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"authoredOn": "2016-03-21T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:87691b1a-5882-5a32-d34a-bf5ffd884c78",
"resource": {
"resourceType": "Claim",
"id": "87691b1a-5882-5a32-d34a-bf5ffd884c78",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:5533a5f7-7b20-85d7-b7cf-7d7056e545d7"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": {
"value": 1.24,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:cc674d90-0129-39fe-f18e-2cc26bb846ba",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "cc674d90-0129-39fe-f18e-2cc26bb846ba",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "87691b1a-5882-5a32-d34a-bf5ffd884c78"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2017-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:87691b1a-5882-5a32-d34a-bf5ffd884c78"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.24,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:33a11a7d-b7d7-b35a-e70e-de58405f62ae",
"resource": {
"resourceType": "Immunization",
"id": "33a11a7d-b7d7-b35a-e70e-de58405f62ae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"occurrenceDateTime": "2016-03-21T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:89f68bcf-46fb-9f3b-0618-d994bba480da",
"resource": {
"resourceType": "DiagnosticReport",
"id": "89f68bcf-46fb-9f3b-0618-d994bba480da",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T01:10:03+01:00",
"issued": "2016-03-21T01:10:03.760+01:00",
"result": [ {
"reference": "urn:uuid:25be9222-01c3-1519-19e8-737701f47665",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:9c171ea8-93c0-96d9-8974-026b1049ef6d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "9c171ea8-93c0-96d9-8974-026b1049ef6d",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T01:42:40+01:00",
"issued": "2016-03-21T01:42:40.760+01:00",
"result": [ {
"reference": "urn:uuid:38e0d94e-f90e-706b-05f1-3a93e8ca35e5",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d5ec3e99-d2cf-fd54-1d67-fff9ae14568a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "d5ec3e99-d2cf-fd54-1d67-fff9ae14568a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
},
"effectiveDateTime": "2016-03-21T00:23:18+01:00",
"issued": "2016-03-21T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:1a9216ea-38eb-876e-3d5b-c12616f68648",
"resource": {
"resourceType": "DocumentReference",
"id": "1a9216ea-38eb-876e-3d5b-c12616f68648",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:d5ec3e99-d2cf-fd54-1d67-fff9ae14568a"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-03-21T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ],
"period": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9fe1cd55-485d-678f-194d-56f5310d1c8a",
"resource": {
"resourceType": "Claim",
"id": "9fe1cd55-485d-678f-194d-56f5310d1c8a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:33a11a7d-b7d7-b35a-e70e-de58405f62ae"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:1889a07b-d166-c5a4-05f7-fdf06da92982"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:33c4de11-542b-526f-f09f-790ef5d3a76c"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:9ad159bd-ee65-f46a-8842-3d9b0a4bed42"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:a7b41336-a2c3-016c-96d3-c08a3d7443bc"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 652.95,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e8122d0f-e69a-de5d-3c8a-92f10fd1d7f1",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e8122d0f-e69a-de5d-3c8a-92f10fd1d7f1",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9fe1cd55-485d-678f-194d-56f5310d1c8a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-21T00:54:53+01:00",
"end": "2017-03-21T00:54:53+01:00"
},
"created": "2016-03-21T00:54:53+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:9fe1cd55-485d-678f-194d-56f5310d1c8a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2016-03-21T00:23:18+01:00",
"end": "2016-03-21T00:54:53+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 652.95,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1608.608,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1",
"resource": {
"resourceType": "Encounter",
"id": "101f76e4-5b14-dd96-8b5c-b96a0e61f9a1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"resource": {
"resourceType": "Condition",
"id": "db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"onsetDateTime": "2016-03-24T16:23:18+01:00",
"abatementDateTime": "2016-04-08T17:35:51+02:00",
"recordedDate": "2016-03-24T16:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:dc115b75-87e2-3839-7161-a2a0441ffcb1",
"resource": {
"resourceType": "Procedure",
"id": "dc115b75-87e2-3839-7161-a2a0441ffcb1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"performedPeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:35:51+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"display": "Acute bronchitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f0ad25f5-c761-b2ec-3e36-b467fa9bc953",
"resource": {
"resourceType": "MedicationRequest",
"id": "f0ad25f5-c761-b2ec-3e36-b467fa9bc953",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"authoredOn": "2016-03-24T16:35:51+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"display": "Acute bronchitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:eaf42971-6dac-96a9-c951-c68b408935c0",
"resource": {
"resourceType": "Claim",
"id": "eaf42971-6dac-96a9-c951-c68b408935c0",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"created": "2016-03-24T16:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:f0ad25f5-c761-b2ec-3e36-b467fa9bc953"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ]
} ],
"total": {
"value": 93.06,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:3e6bb788-423d-232a-c4ca-61877d165871",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "3e6bb788-423d-232a-c4ca-61877d165871",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "eaf42971-6dac-96a9-c951-c68b408935c0"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-24T16:38:18+01:00",
"end": "2017-03-24T16:38:18+01:00"
},
"created": "2016-03-24T16:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:eaf42971-6dac-96a9-c951-c68b408935c0"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 93.06,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0edd9cc4-ec7f-e1f2-b8dc-d79e21c76850",
"resource": {
"resourceType": "CareTeam",
"id": "0edd9cc4-ec7f-e1f2-b8dc-d79e21c76850",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam" ]
},
"status": "inactive",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"period": {
"start": "2016-03-24T16:35:51+01:00",
"end": "2016-04-08T17:35:51+02:00"
},
"participant": [ {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "116154003",
"display": "Patient"
} ],
"text": "Patient"
} ],
"member": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "223366009",
"display": "Healthcare professional (occupation)"
} ],
"text": "Healthcare professional (occupation)"
} ],
"member": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224891009",
"display": "Healthcare services (qualifier value)"
} ],
"text": "Healthcare services (qualifier value)"
} ],
"member": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"managingOrganization": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
} ]
},
"request": {
"method": "POST",
"url": "CareTeam"
}
}, {
"fullUrl": "urn:uuid:a8d67e6d-3061-5f73-875f-53ebbd67c11a",
"resource": {
"resourceType": "CarePlan",
"id": "a8d67e6d-3061-5f73-875f-53ebbd67c11a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Respiratory therapy.<br/>Activities: <ul><li>Respiratory therapy</li><li>Respiratory therapy</li></ul></div>"
},
"status": "completed",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
} ]
}, {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "53950000",
"display": "Respiratory therapy"
} ],
"text": "Respiratory therapy"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"period": {
"start": "2016-03-24T16:35:51+01:00",
"end": "2016-04-08T17:35:51+02:00"
},
"careTeam": [ {
"reference": "urn:uuid:0edd9cc4-ec7f-e1f2-b8dc-d79e21c76850"
} ],
"activity": [ {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "304510005",
"display": "Recommendation to avoid exercise"
} ],
"text": "Recommendation to avoid exercise"
},
"status": "completed",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "371605008",
"display": "Deep breathing and coughing exercises"
} ],
"text": "Deep breathing and coughing exercises"
},
"status": "completed",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
} ]
},
"request": {
"method": "POST",
"url": "CarePlan"
}
}, {
"fullUrl": "urn:uuid:435af64a-56ce-fdeb-ec4a-6e7652378811",
"resource": {
"resourceType": "DiagnosticReport",
"id": "435af64a-56ce-fdeb-ec4a-6e7652378811",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
},
"effectiveDateTime": "2016-03-24T16:23:18+01:00",
"issued": "2016-03-24T16:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:6b454805-e891-29d1-af9e-7d4d645289ac",
"resource": {
"resourceType": "DocumentReference",
"id": "6b454805-e891-29d1-af9e-7d4d645289ac",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:435af64a-56ce-fdeb-ec4a-6e7652378811"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-03-24T16:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ],
"period": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:21c1a164-4299-1075-6f08-3c577337de9b",
"resource": {
"resourceType": "Claim",
"id": "21c1a164-4299-1075-6f08-3c577337de9b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"created": "2016-03-24T16:38:18+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:dc115b75-87e2-3839-7161-a2a0441ffcb1"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"net": {
"value": 351.92,
"currency": "USD"
}
} ],
"total": {
"value": 437.47,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b14c78bc-d3d6-9f32-82f4-45577799ce87",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b14c78bc-d3d6-9f32-82f4-45577799ce87",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "21c1a164-4299-1075-6f08-3c577337de9b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-24T16:38:18+01:00",
"end": "2017-03-24T16:38:18+01:00"
},
"created": "2016-03-24T16:38:18+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:21c1a164-4299-1075-6f08-3c577337de9b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
},
"servicedPeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"servicedPeriod": {
"start": "2016-03-24T16:23:18+01:00",
"end": "2016-03-24T16:38:18+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 351.92,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 70.384,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 281.536,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 351.92,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 351.92,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 437.47,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 281.536,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f",
"resource": {
"resourceType": "Encounter",
"id": "658b11a7-7bd3-7512-f950-4fcb8aba100f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "658b11a7-7bd3-7512-f950-4fcb8aba100f"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:6b3dae74-1697-1d00-44b1-1eae58e8d37d",
"resource": {
"resourceType": "Condition",
"id": "6b3dae74-1697-1d00-44b1-1eae58e8d37d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
},
"onsetDateTime": "2016-03-28T01:23:18+02:00",
"abatementDateTime": "2016-04-08T02:23:18+02:00",
"recordedDate": "2016-03-28T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:6eb8fdec-626a-0284-8ec2-e465f55d8c0a",
"resource": {
"resourceType": "Observation",
"id": "6eb8fdec-626a-0284-8ec2-e465f55d8c0a",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}, {
"system": "http://loinc.org",
"code": "8331-1",
"display": "Oral temperature"
} ],
"text": "Body temperature"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
},
"effectiveDateTime": "2016-03-28T01:23:18+02:00",
"issued": "2016-03-28T01:23:18.760+02:00",
"valueQuantity": {
"value": 37.455,
"unit": "Cel",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ae374e53-ba48-1191-9334-81afd672043d",
"resource": {
"resourceType": "Procedure",
"id": "ae374e53-ba48-1191-9334-81afd672043d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
},
"performedPeriod": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:6b3dae74-1697-1d00-44b1-1eae58e8d37d",
"display": "Acute viral pharyngitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f04f8f95-dd76-62bf-1c4a-f820041f5238",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f04f8f95-dd76-62bf-1c4a-f820041f5238",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
},
"effectiveDateTime": "2016-03-28T01:23:18+02:00",
"issued": "2016-03-28T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:0c2bbe59-976f-fd56-53a7-7fb972b4568b",
"resource": {
"resourceType": "DocumentReference",
"id": "0c2bbe59-976f-fd56-53a7-7fb972b4568b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:f04f8f95-dd76-62bf-1c4a-f820041f5238"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-03-28T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
} ],
"period": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:d287b579-8134-5033-8409-36d392c9d966",
"resource": {
"resourceType": "Claim",
"id": "d287b579-8134-5033-8409-36d392c9d966",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"created": "2016-03-28T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6b3dae74-1697-1d00-44b1-1eae58e8d37d"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:ae374e53-ba48-1191-9334-81afd672043d"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"net": {
"value": 2141.89,
"currency": "USD"
}
} ],
"total": {
"value": 2227.44,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:dc4c281f-bded-46b4-02f5-18eba44c38a7",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "dc4c281f-bded-46b4-02f5-18eba44c38a7",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d287b579-8134-5033-8409-36d392c9d966"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-03-28T01:38:18+02:00",
"end": "2017-03-28T01:38:18+02:00"
},
"created": "2016-03-28T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:d287b579-8134-5033-8409-36d392c9d966"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:6b3dae74-1697-1d00-44b1-1eae58e8d37d"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "195662009",
"display": "Acute viral pharyngitis (disorder)"
} ],
"text": "Acute viral pharyngitis (disorder)"
},
"servicedPeriod": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "117015009",
"display": "Throat culture (procedure)"
} ],
"text": "Throat culture (procedure)"
},
"servicedPeriod": {
"start": "2016-03-28T01:23:18+02:00",
"end": "2016-03-28T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 2141.89,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 428.378,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 1713.512,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 2141.89,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 2141.89,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 2227.44,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1713.512,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2",
"resource": {
"resourceType": "Encounter",
"id": "0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
}
} ],
"period": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:63b59d6e-c65c-63cf-471a-7244faf4115a",
"resource": {
"resourceType": "Condition",
"id": "63b59d6e-c65c-63cf-471a-7244faf4115a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"onsetDateTime": "2016-04-04T02:06:27+02:00",
"abatementDateTime": "2019-12-02T01:09:46+01:00",
"recordedDate": "2016-04-04T02:06:27+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:d0015bdc-671c-f82a-ba39-fe8f6830b7bd",
"resource": {
"resourceType": "Condition",
"id": "d0015bdc-671c-f82a-ba39-fe8f6830b7bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10939881000119105",
"display": "Unhealthy alcohol drinking behavior (finding)"
} ],
"text": "Unhealthy alcohol drinking behavior (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"onsetDateTime": "2016-04-04T03:06:53+02:00",
"abatementDateTime": "2018-11-26T02:31:46+01:00",
"recordedDate": "2016-04-04T03:06:53+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:1119860a-45c2-1a85-6823-5187a9205c23",
"resource": {
"resourceType": "Observation",
"id": "1119860a-45c2-1a85-6823-5187a9205c23",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 182.7,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c91b0690-0e92-b90d-c4e1-903b74505bb0",
"resource": {
"resourceType": "Observation",
"id": "c91b0690-0e92-b90d-c4e1-903b74505bb0",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:35af6cab-bdca-07e3-0276-ef294f3bff81",
"resource": {
"resourceType": "Observation",
"id": "35af6cab-bdca-07e3-0276-ef294f3bff81",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 86.6,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9a3ceb2d-a068-ffcf-0af8-6e58592a02d7",
"resource": {
"resourceType": "Observation",
"id": "9a3ceb2d-a068-ffcf-0af8-6e58592a02d7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 25.94,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b3f50ca0-0c1e-46b5-4fda-ad204932f1bf",
"resource": {
"resourceType": "Observation",
"id": "b3f50ca0-0c1e-46b5-4fda-ad204932f1bf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 80.73,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:c6ed18fd-b7a8-0703-1a0c-49a2c946c5ae",
"resource": {
"resourceType": "Observation",
"id": "c6ed18fd-b7a8-0703-1a0c-49a2c946c5ae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 81,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 103,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3321d258-89ca-84a3-7fb1-5881c46c4879",
"resource": {
"resourceType": "Observation",
"id": "3321d258-89ca-84a3-7fb1-5881c46c4879",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 73,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:dd315e1d-4c1c-37a4-4b09-275c1178d9b4",
"resource": {
"resourceType": "Observation",
"id": "dd315e1d-4c1c-37a4-4b09-275c1178d9b4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:faae9b39-bed0-2631-dfa7-4b8cf0a30188",
"resource": {
"resourceType": "Observation",
"id": "faae9b39-bed0-2631-dfa7-4b8cf0a30188",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:90847a1e-cda3-1de5-29a5-87bae2707878",
"resource": {
"resourceType": "Observation",
"id": "90847a1e-cda3-1de5-29a5-87bae2707878",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T02:06:27+02:00",
"issued": "2016-04-04T02:06:27.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30128-5",
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
} ],
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bd2b7c50-5159-73c7-4169-f22e5261d353",
"resource": {
"resourceType": "Observation",
"id": "bd2b7c50-5159-73c7-4169-f22e5261d353",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T02:22:35+02:00",
"issued": "2016-04-04T02:22:35.760+02:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7a20c497-3823-4561-ff18-651a2fa5f252",
"resource": {
"resourceType": "Observation",
"id": "7a20c497-3823-4561-ff18-651a2fa5f252",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T03:06:53+02:00",
"issued": "2016-04-04T03:06:53.760+02:00",
"valueQuantity": {
"value": 7,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ef270c5f-556a-4c1c-4826-1910992d2bc1",
"resource": {
"resourceType": "Procedure",
"id": "ef270c5f-556a-4c1c-4826-1910992d2bc1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"performedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T01:38:18+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:98036bfd-63c5-893f-cce3-14a0f96cc23b",
"resource": {
"resourceType": "Procedure",
"id": "98036bfd-63c5-893f-cce3-14a0f96cc23b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"performedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:469f4bfb-c4a1-4c40-25d4-59c8226db6b3",
"resource": {
"resourceType": "Procedure",
"id": "469f4bfb-c4a1-4c40-25d4-59c8226db6b3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"performedPeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2016-04-04T02:22:35+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b6a0c837-582e-cef6-a98f-3664c61ed3d0",
"resource": {
"resourceType": "Procedure",
"id": "b6a0c837-582e-cef6-a98f-3664c61ed3d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"performedPeriod": {
"start": "2016-04-04T02:22:35+02:00",
"end": "2016-04-04T02:37:32+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d343fad2-0301-63a5-1e9d-6d73ff23164c",
"resource": {
"resourceType": "Procedure",
"id": "d343fad2-0301-63a5-1e9d-6d73ff23164c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"performedPeriod": {
"start": "2016-04-04T02:37:32+02:00",
"end": "2016-04-04T03:06:53+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:968955b0-1db8-4c4c-4a94-eeb65d57b1c9",
"resource": {
"resourceType": "MedicationRequest",
"id": "968955b0-1db8-4c4c-4a94-eeb65d57b1c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"authoredOn": "2016-04-04T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:a11abf4a-5676-47dc-65f1-ef5fec940b53",
"resource": {
"resourceType": "Claim",
"id": "a11abf4a-5676-47dc-65f1-ef5fec940b53",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:968955b0-1db8-4c4c-4a94-eeb65d57b1c9"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:19ad7894-e2c4-e429-0a79-830058b70ad2",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "19ad7894-e2c4-e429-0a79-830058b70ad2",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a11abf4a-5676-47dc-65f1-ef5fec940b53"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2017-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:a11abf4a-5676-47dc-65f1-ef5fec940b53"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b0d67388-7791-e617-6bfb-959c5f189242",
"resource": {
"resourceType": "MedicationRequest",
"id": "b0d67388-7791-e617-6bfb-959c5f189242",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"authoredOn": "2016-04-04T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:38191f82-df16-9108-8979-559fc15b95fd",
"resource": {
"resourceType": "Claim",
"id": "38191f82-df16-9108-8979-559fc15b95fd",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b0d67388-7791-e617-6bfb-959c5f189242"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0794d295-de33-1a54-1200-488804dc0b20",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0794d295-de33-1a54-1200-488804dc0b20",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "38191f82-df16-9108-8979-559fc15b95fd"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2017-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:38191f82-df16-9108-8979-559fc15b95fd"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:84d90ad8-cdb4-4e84-ebd4-2e61aa256668",
"resource": {
"resourceType": "MedicationRequest",
"id": "84d90ad8-cdb4-4e84-ebd4-2e61aa256668",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"authoredOn": "2016-04-04T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:4311d3ad-853a-65e8-c61e-ef3638d752c1",
"resource": {
"resourceType": "Claim",
"id": "4311d3ad-853a-65e8-c61e-ef3638d752c1",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:84d90ad8-cdb4-4e84-ebd4-2e61aa256668"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a04fbd8f-f7d1-0efb-4707-1cb262601bbc",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a04fbd8f-f7d1-0efb-4707-1cb262601bbc",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "4311d3ad-853a-65e8-c61e-ef3638d752c1"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2017-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:4311d3ad-853a-65e8-c61e-ef3638d752c1"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ecaab3ba-a923-41ac-0f45-b8e9a8753056",
"resource": {
"resourceType": "MedicationRequest",
"id": "ecaab3ba-a923-41ac-0f45-b8e9a8753056",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"authoredOn": "2016-04-04T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:8b0cb9f7-b31c-368b-055f-01e8b8f92a7a",
"resource": {
"resourceType": "Claim",
"id": "8b0cb9f7-b31c-368b-055f-01e8b8f92a7a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:ecaab3ba-a923-41ac-0f45-b8e9a8753056"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": {
"value": 1.25,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7db53d7b-dd1b-ed11-16ea-85023d6f48c1",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7db53d7b-dd1b-ed11-16ea-85023d6f48c1",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "8b0cb9f7-b31c-368b-055f-01e8b8f92a7a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2017-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:8b0cb9f7-b31c-368b-055f-01e8b8f92a7a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.25,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:839ac1b4-1c36-49d6-f848-c69c31e95b27",
"resource": {
"resourceType": "DiagnosticReport",
"id": "839ac1b4-1c36-49d6-f848-c69c31e95b27",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T02:22:35+02:00",
"issued": "2016-04-04T02:22:35.760+02:00",
"result": [ {
"reference": "urn:uuid:bd2b7c50-5159-73c7-4169-f22e5261d353",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:058f2e1d-c39f-625c-f268-8888e7682982",
"resource": {
"resourceType": "DiagnosticReport",
"id": "058f2e1d-c39f-625c-f268-8888e7682982",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T03:06:53+02:00",
"issued": "2016-04-04T03:06:53.760+02:00",
"result": [ {
"reference": "urn:uuid:7a20c497-3823-4561-ff18-651a2fa5f252",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:35e45320-b6bd-88c5-7b77-a79872d38679",
"resource": {
"resourceType": "DiagnosticReport",
"id": "35e45320-b6bd-88c5-7b77-a79872d38679",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
},
"effectiveDateTime": "2016-04-04T01:23:18+02:00",
"issued": "2016-04-04T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:57d3a358-7f84-8025-07c1-45851a283e06",
"resource": {
"resourceType": "DocumentReference",
"id": "57d3a358-7f84-8025-07c1-45851a283e06",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:35e45320-b6bd-88c5-7b77-a79872d38679"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-04-04T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ],
"period": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:c64f8548-6255-8c83-391d-0e0c0f1aa763",
"resource": {
"resourceType": "Claim",
"id": "c64f8548-6255-8c83-391d-0e0c0f1aa763",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:63b59d6e-c65c-63cf-471a-7244faf4115a"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:d0015bdc-671c-f82a-ba39-fe8f6830b7bd"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:ef270c5f-556a-4c1c-4826-1910992d2bc1"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:98036bfd-63c5-893f-cce3-14a0f96cc23b"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:469f4bfb-c4a1-4c40-25d4-59c8226db6b3"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:b6a0c837-582e-cef6-a98f-3664c61ed3d0"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:d343fad2-0301-63a5-1e9d-6d73ff23164c"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
}, {
"sequence": 2,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 714.24,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
}
}, {
"sequence": 5,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10939881000119105",
"display": "Unhealthy alcohol drinking behavior (finding)"
} ],
"text": "Unhealthy alcohol drinking behavior (finding)"
}
}, {
"sequence": 10,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1288.22,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7e92e590-0c03-8540-254a-44c276929201",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7e92e590-0c03-8540-254a-44c276929201",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "c64f8548-6255-8c83-391d-0e0c0f1aa763"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-04T02:06:27+02:00",
"end": "2017-04-04T02:06:27+02:00"
},
"created": "2016-04-04T02:06:27+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:c64f8548-6255-8c83-391d-0e0c0f1aa763"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:63b59d6e-c65c-63cf-471a-7244faf4115a"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:d0015bdc-671c-f82a-ba39-fe8f6830b7bd"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
} ]
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 714.24,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 142.848,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 571.392,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 714.24,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 714.24,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10939881000119105",
"display": "Unhealthy alcohol drinking behavior (finding)"
} ],
"text": "Unhealthy alcohol drinking behavior (finding)"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
}, {
"sequence": 10,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2016-04-04T01:23:18+02:00",
"end": "2016-04-04T02:06:27+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1288.22,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2071.2000000000003,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea",
"resource": {
"resourceType": "Encounter",
"id": "e6a51794-0f1a-58ac-fc62-37ff34ce53ea",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
}
} ],
"period": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:0963b53f-5d38-e08b-7225-a05a7fd58a02",
"resource": {
"resourceType": "Condition",
"id": "0963b53f-5d38-e08b-7225-a05a7fd58a02",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"onsetDateTime": "2016-04-11T01:23:18+02:00",
"abatementDateTime": "2017-11-20T00:23:18+01:00",
"recordedDate": "2016-04-11T01:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:f54f75ad-9981-cdc5-bfd6-f46598ef6333",
"resource": {
"resourceType": "MedicationRequest",
"id": "f54f75ad-9981-cdc5-bfd6-f46598ef6333",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"authoredOn": "2016-04-11T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:859165c5-208a-9641-a0ac-1e98bad22120",
"resource": {
"resourceType": "Claim",
"id": "859165c5-208a-9641-a0ac-1e98bad22120",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:f54f75ad-9981-cdc5-bfd6-f46598ef6333"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:7cc75f72-d00a-c4c4-5e5f-bc62c3f11216",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "7cc75f72-d00a-c4c4-5e5f-bc62c3f11216",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "859165c5-208a-9641-a0ac-1e98bad22120"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:38:18+02:00",
"end": "2017-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:859165c5-208a-9641-a0ac-1e98bad22120"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:95942b87-e4db-a083-f402-e0b5258e6492",
"resource": {
"resourceType": "MedicationRequest",
"id": "95942b87-e4db-a083-f402-e0b5258e6492",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"authoredOn": "2016-04-11T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:83ed4c8a-c8a8-368a-a142-46bb27870b99",
"resource": {
"resourceType": "Claim",
"id": "83ed4c8a-c8a8-368a-a142-46bb27870b99",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:95942b87-e4db-a083-f402-e0b5258e6492"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:9d835cf1-2e2a-1b9d-157d-4f17d71ae7cc",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "9d835cf1-2e2a-1b9d-157d-4f17d71ae7cc",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "83ed4c8a-c8a8-368a-a142-46bb27870b99"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:38:18+02:00",
"end": "2017-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:83ed4c8a-c8a8-368a-a142-46bb27870b99"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:11604fa4-8c5b-977a-62f4-81c5657dd5d4",
"resource": {
"resourceType": "MedicationRequest",
"id": "11604fa4-8c5b-977a-62f4-81c5657dd5d4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"authoredOn": "2016-04-11T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:d085c5e4-43b2-ff7a-0423-1c132c0f88f0",
"resource": {
"resourceType": "Claim",
"id": "d085c5e4-43b2-ff7a-0423-1c132c0f88f0",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:11604fa4-8c5b-977a-62f4-81c5657dd5d4"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:3ecad26e-ea3a-fa55-32b1-1fc0cbd35745",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "3ecad26e-ea3a-fa55-32b1-1fc0cbd35745",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d085c5e4-43b2-ff7a-0423-1c132c0f88f0"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:38:18+02:00",
"end": "2017-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:d085c5e4-43b2-ff7a-0423-1c132c0f88f0"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ea39da61-8d2f-596d-0f91-eb92624b118a",
"resource": {
"resourceType": "MedicationRequest",
"id": "ea39da61-8d2f-596d-0f91-eb92624b118a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"authoredOn": "2016-04-11T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:3525de84-3ee9-9ba8-f647-b645a7be738d",
"resource": {
"resourceType": "Claim",
"id": "3525de84-3ee9-9ba8-f647-b645a7be738d",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:ea39da61-8d2f-596d-0f91-eb92624b118a"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": {
"value": 0.95,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:3136fd82-448e-5cb4-f106-96b78c14be27",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "3136fd82-448e-5cb4-f106-96b78c14be27",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "3525de84-3ee9-9ba8-f647-b645a7be738d"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:38:18+02:00",
"end": "2017-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:3525de84-3ee9-9ba8-f647-b645a7be738d"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.95,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:1db8e457-b106-fcd3-6f97-d4afa7d81320",
"resource": {
"resourceType": "DiagnosticReport",
"id": "1db8e457-b106-fcd3-6f97-d4afa7d81320",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
},
"effectiveDateTime": "2016-04-11T01:23:18+02:00",
"issued": "2016-04-11T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:1e907a9f-dd40-6bbe-a742-e52ed4c32b74",
"resource": {
"resourceType": "DocumentReference",
"id": "1e907a9f-dd40-6bbe-a742-e52ed4c32b74",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:1db8e457-b106-fcd3-6f97-d4afa7d81320"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-04-11T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199",
"display": "Dr. Josefina523 Portillo767"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ],
"period": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:da3713b6-77f9-34d8-4e18-4500a9780e05",
"resource": {
"resourceType": "Claim",
"id": "da3713b6-77f9-34d8-4e18-4500a9780e05",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9ce6072b-d039-3cde-8eaf-950211b8ae88",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:0963b53f-5d38-e08b-7225-a05a7fd58a02"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
} ],
"total": {
"value": 142.58,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:858fe6ac-c263-a7fc-e27f-da930fb58994",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "858fe6ac-c263-a7fc-e27f-da930fb58994",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "da3713b6-77f9-34d8-4e18-4500a9780e05"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-04-11T01:38:18+02:00",
"end": "2017-04-11T01:38:18+02:00"
},
"created": "2016-04-11T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|340fb698-66ad-37b5-a6d7-12214e8b5287",
"display": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC"
},
"claim": {
"reference": "urn:uuid:da3713b6-77f9-34d8-4e18-4500a9780e05"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999939199"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:0963b53f-5d38-e08b-7225-a05a7fd58a02"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "702927004",
"display": "Urgent care clinic (environment)"
} ],
"text": "Urgent care clinic (environment)"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2016-04-11T01:23:18+02:00",
"end": "2016-04-11T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 142.58,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03",
"resource": {
"resourceType": "Encounter",
"id": "35bfcac2-3ad2-ee3b-69f5-54f4d2108b03",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:275f4198-67ce-cff1-1dbd-2df1adfec143",
"resource": {
"resourceType": "Condition",
"id": "275f4198-67ce-cff1-1dbd-2df1adfec143",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"onsetDateTime": "2016-06-10T10:35:51+02:00",
"abatementDateTime": "2016-06-21T10:54:00+02:00",
"recordedDate": "2016-06-10T10:35:51+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:6e8ffd00-5dbe-5500-6e26-4ab287087f54",
"resource": {
"resourceType": "Procedure",
"id": "6e8ffd00-5dbe-5500-6e26-4ab287087f54",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"performedPeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"display": "Acute bronchitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:876e73c8-61d6-677c-36fa-97e04982e42e",
"resource": {
"resourceType": "MedicationRequest",
"id": "876e73c8-61d6-677c-36fa-97e04982e42e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"authoredOn": "2016-06-10T10:54:00+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3",
"display": "Acute bronchitis (disorder)"
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:be0a8070-dfd7-d854-cba3-a85c9c863858",
"resource": {
"resourceType": "Claim",
"id": "be0a8070-dfd7-d854-cba3-a85c9c863858",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"created": "2016-06-10T10:54:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:876e73c8-61d6-677c-36fa-97e04982e42e"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ]
} ],
"total": {
"value": 72.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e6caf1d9-1c3d-0c43-6d36-1dd95a56418b",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e6caf1d9-1c3d-0c43-6d36-1dd95a56418b",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "be0a8070-dfd7-d854-cba3-a85c9c863858"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-10T10:54:00+02:00",
"end": "2017-06-10T10:54:00+02:00"
},
"created": "2016-06-10T10:54:00+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:be0a8070-dfd7-d854-cba3-a85c9c863858"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 72.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c3c89ced-e40d-cb96-43d0-5f148cfe98fc",
"resource": {
"resourceType": "CareTeam",
"id": "c3c89ced-e40d-cb96-43d0-5f148cfe98fc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam" ]
},
"status": "inactive",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"period": {
"start": "2016-06-10T10:54:00+02:00",
"end": "2016-11-14T00:23:18+01:00"
},
"participant": [ {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "116154003",
"display": "Patient"
} ],
"text": "Patient"
} ],
"member": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "223366009",
"display": "Healthcare professional (occupation)"
} ],
"text": "Healthcare professional (occupation)"
} ],
"member": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224891009",
"display": "Healthcare services (qualifier value)"
} ],
"text": "Healthcare services (qualifier value)"
} ],
"member": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"managingOrganization": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
} ]
},
"request": {
"method": "POST",
"url": "CareTeam"
}
}, {
"fullUrl": "urn:uuid:cd215a5f-75de-6406-d2f5-ffbb06ab9349",
"resource": {
"resourceType": "CarePlan",
"id": "cd215a5f-75de-6406-d2f5-ffbb06ab9349",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Respiratory therapy.<br/>Activities: <ul><li>Respiratory therapy</li><li>Respiratory therapy</li></ul></div>"
},
"status": "completed",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
} ]
}, {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "53950000",
"display": "Respiratory therapy"
} ],
"text": "Respiratory therapy"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"period": {
"start": "2016-06-10T10:54:00+02:00",
"end": "2016-11-14T00:23:18+01:00"
},
"careTeam": [ {
"reference": "urn:uuid:c3c89ced-e40d-cb96-43d0-5f148cfe98fc"
} ],
"activity": [ {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "304510005",
"display": "Recommendation to avoid exercise"
} ],
"text": "Recommendation to avoid exercise"
},
"status": "completed",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "371605008",
"display": "Deep breathing and coughing exercises"
} ],
"text": "Deep breathing and coughing exercises"
},
"status": "completed",
"location": {
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
}
} ]
},
"request": {
"method": "POST",
"url": "CarePlan"
}
}, {
"fullUrl": "urn:uuid:cbe281f1-a5e2-9507-87f8-7fa5eb75e97f",
"resource": {
"resourceType": "DiagnosticReport",
"id": "cbe281f1-a5e2-9507-87f8-7fa5eb75e97f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
},
"effectiveDateTime": "2016-06-10T10:35:51+02:00",
"issued": "2016-06-10T10:35:51.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:6eb1616e-7f9d-06d8-0955-1f4f2f8aa905",
"resource": {
"resourceType": "DocumentReference",
"id": "6eb1616e-7f9d-06d8-0955-1f4f2f8aa905",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:cbe281f1-a5e2-9507-87f8-7fa5eb75e97f"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-06-10T10:35:51.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ],
"period": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:2e990031-c9ca-83bf-eafa-6dbd22c4613b",
"resource": {
"resourceType": "Claim",
"id": "2e990031-c9ca-83bf-eafa-6dbd22c4613b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"created": "2016-06-10T10:54:00+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:275f4198-67ce-cff1-1dbd-2df1adfec143"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:6e8ffd00-5dbe-5500-6e26-4ab287087f54"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"net": {
"value": 455.09,
"currency": "USD"
}
} ],
"total": {
"value": 540.64,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:1166dd3e-bfac-8003-c3d1-6c4b960376a0",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "1166dd3e-bfac-8003-c3d1-6c4b960376a0",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2e990031-c9ca-83bf-eafa-6dbd22c4613b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-10T10:54:00+02:00",
"end": "2017-06-10T10:54:00+02:00"
},
"created": "2016-06-10T10:54:00+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:2e990031-c9ca-83bf-eafa-6dbd22c4613b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:275f4198-67ce-cff1-1dbd-2df1adfec143"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "10509002",
"display": "Acute bronchitis (disorder)"
} ],
"text": "Acute bronchitis (disorder)"
},
"servicedPeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "23426006",
"display": "Measurement of respiratory function (procedure)"
} ],
"text": "Measurement of respiratory function (procedure)"
},
"servicedPeriod": {
"start": "2016-06-10T10:35:51+02:00",
"end": "2016-06-10T10:54:00+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 455.09,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 91.018,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 364.072,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 455.09,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 455.09,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 540.64,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 364.072,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48",
"resource": {
"resourceType": "Encounter",
"id": "ff975578-288c-fcc1-e971-20d53b7bcb48",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "ff975578-288c-fcc1-e971-20d53b7bcb48"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:93946d58-15c2-8dd5-862c-a7e60587fb8b",
"resource": {
"resourceType": "Condition",
"id": "93946d58-15c2-8dd5-862c-a7e60587fb8b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"onsetDateTime": "2016-06-20T01:58:08+02:00",
"abatementDateTime": "2017-11-20T01:01:21+01:00",
"recordedDate": "2016-06-20T01:58:08+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:eccb23fd-1787-04fb-83cb-71041ae9660f",
"resource": {
"resourceType": "Condition",
"id": "eccb23fd-1787-04fb-83cb-71041ae9660f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "706893006",
"display": "Victim of intimate partner abuse (finding)"
} ],
"text": "Victim of intimate partner abuse (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"onsetDateTime": "2016-06-20T01:58:08+02:00",
"abatementDateTime": "2016-11-14T01:15:31+01:00",
"recordedDate": "2016-06-20T01:58:08+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:b6ca5c36-7b9b-e2d0-55d1-2c77d3d3b2a8",
"resource": {
"resourceType": "Observation",
"id": "b6ca5c36-7b9b-e2d0-55d1-2c77d3d3b2a8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5829ec51-4cb1-ffa2-f3c8-28a466f85620",
"resource": {
"resourceType": "Observation",
"id": "5829ec51-4cb1-ffa2-f3c8-28a466f85620",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:92067445-acc7-4ca7-8656-1383ee169f3b",
"resource": {
"resourceType": "Observation",
"id": "92067445-acc7-4ca7-8656-1383ee169f3b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 86.7,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a76bb2b2-aa49-7a7f-cff9-7f7410abf274",
"resource": {
"resourceType": "Observation",
"id": "a76bb2b2-aa49-7a7f-cff9-7f7410abf274",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 25.94,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:500c2ee5-c7a8-4829-eb5c-730bced526f3",
"resource": {
"resourceType": "Observation",
"id": "500c2ee5-c7a8-4829-eb5c-730bced526f3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "59576-9",
"display": "Body mass index (BMI) [Percentile] Per age and sex"
} ],
"text": "Body mass index (BMI) [Percentile] Per age and sex"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 79.66,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3e7eb46e-8dec-c5b9-80fa-7b4edab669bf",
"resource": {
"resourceType": "Observation",
"id": "3e7eb46e-8dec-c5b9-80fa-7b4edab669bf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 82,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 101,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0552add6-223b-68a0-01f0-af293981ced2",
"resource": {
"resourceType": "Observation",
"id": "0552add6-223b-68a0-01f0-af293981ced2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 91,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8f54bc35-4652-c992-f062-847ea9a578c1",
"resource": {
"resourceType": "Observation",
"id": "8f54bc35-4652-c992-f062-847ea9a578c1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e6d0cf5c-8593-393e-e4b0-417cfa60d0c2",
"resource": {
"resourceType": "Observation",
"id": "e6d0cf5c-8593-393e-e4b0-417cfa60d0c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7408d709-3a7a-302f-3601-1554393ca3ae",
"resource": {
"resourceType": "Observation",
"id": "7408d709-3a7a-302f-3601-1554393ca3ae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:58:08+02:00",
"issued": "2016-06-20T01:58:08.760+02:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
} ],
"text": "A little bit"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30122-8",
"display": "I choose not to answer this question"
} ],
"text": "I choose not to answer this question"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f1359c6c-beaa-04a8-4816-8d5162e59cdb",
"resource": {
"resourceType": "Observation",
"id": "f1359c6c-beaa-04a8-4816-8d5162e59cdb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76504-0",
"display": "Total score [HARK]"
} ],
"text": "Total score [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T02:26:31+02:00",
"issued": "2016-06-20T02:26:31.760+02:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:86b7f0b7-037c-c517-531d-d502c1ae8192",
"resource": {
"resourceType": "Observation",
"id": "86b7f0b7-037c-c517-531d-d502c1ae8192",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T03:04:31+02:00",
"issued": "2016-06-20T03:04:31.760+02:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:420ade84-b922-8d05-c5e7-cc068624e747",
"resource": {
"resourceType": "Procedure",
"id": "420ade84-b922-8d05-c5e7-cc068624e747",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"performedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:cb2e7174-d7e6-3e8f-1757-72dcaaea3c82",
"resource": {
"resourceType": "Procedure",
"id": "cb2e7174-d7e6-3e8f-1757-72dcaaea3c82",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"performedPeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2016-06-20T02:26:31+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:5751ad70-d33c-1cb9-1458-5b70d47734c6",
"resource": {
"resourceType": "Procedure",
"id": "5751ad70-d33c-1cb9-1458-5b70d47734c6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"performedPeriod": {
"start": "2016-06-20T02:26:31+02:00",
"end": "2016-06-20T02:40:54+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:af13f42c-dd5c-2bf1-dd74-49497534f0d0",
"resource": {
"resourceType": "Procedure",
"id": "af13f42c-dd5c-2bf1-dd74-49497534f0d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"performedPeriod": {
"start": "2016-06-20T02:40:54+02:00",
"end": "2016-06-20T03:04:31+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a202ada4-bf62-94db-8cc5-32717e5802b8",
"resource": {
"resourceType": "MedicationRequest",
"id": "a202ada4-bf62-94db-8cc5-32717e5802b8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"authoredOn": "2016-06-20T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:2fc5e2c8-7996-7829-f005-50e680c6a9f9",
"resource": {
"resourceType": "Claim",
"id": "2fc5e2c8-7996-7829-f005-50e680c6a9f9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:a202ada4-bf62-94db-8cc5-32717e5802b8"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e333a94f-9904-e2d7-d401-4044baf70980",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e333a94f-9904-e2d7-d401-4044baf70980",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2fc5e2c8-7996-7829-f005-50e680c6a9f9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2017-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:2fc5e2c8-7996-7829-f005-50e680c6a9f9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:27667caa-29c5-95b5-b19b-2cfbfd0b397a",
"resource": {
"resourceType": "MedicationRequest",
"id": "27667caa-29c5-95b5-b19b-2cfbfd0b397a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"authoredOn": "2016-06-20T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:839ed670-5f15-d5e4-be0d-2b4cd17774d3",
"resource": {
"resourceType": "Claim",
"id": "839ed670-5f15-d5e4-be0d-2b4cd17774d3",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:27667caa-29c5-95b5-b19b-2cfbfd0b397a"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:80ea7cb8-73a3-38d8-5572-495317666f34",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "80ea7cb8-73a3-38d8-5572-495317666f34",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "839ed670-5f15-d5e4-be0d-2b4cd17774d3"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2017-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:839ed670-5f15-d5e4-be0d-2b4cd17774d3"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:880fbe98-3e81-d3e8-19e0-52ea492e6fe0",
"resource": {
"resourceType": "MedicationRequest",
"id": "880fbe98-3e81-d3e8-19e0-52ea492e6fe0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"authoredOn": "2016-06-20T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:07db4f07-3b58-d641-fb0b-b591c9d6a4e9",
"resource": {
"resourceType": "Claim",
"id": "07db4f07-3b58-d641-fb0b-b591c9d6a4e9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:880fbe98-3e81-d3e8-19e0-52ea492e6fe0"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:c73d3edd-993e-6a4d-d6d6-74251fab21f6",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "c73d3edd-993e-6a4d-d6d6-74251fab21f6",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "07db4f07-3b58-d641-fb0b-b591c9d6a4e9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2017-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:07db4f07-3b58-d641-fb0b-b591c9d6a4e9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:623da71e-fcd4-c903-6e26-6a901f23cf64",
"resource": {
"resourceType": "MedicationRequest",
"id": "623da71e-fcd4-c903-6e26-6a901f23cf64",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"authoredOn": "2016-06-20T01:23:18+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:6bf87843-5e35-02b5-74b5-ecb78e78fbe7",
"resource": {
"resourceType": "Claim",
"id": "6bf87843-5e35-02b5-74b5-ecb78e78fbe7",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:623da71e-fcd4-c903-6e26-6a901f23cf64"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": {
"value": 0.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:91ca10df-8331-fed4-e3e9-434a123ed843",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "91ca10df-8331-fed4-e3e9-434a123ed843",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6bf87843-5e35-02b5-74b5-ecb78e78fbe7"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2017-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:6bf87843-5e35-02b5-74b5-ecb78e78fbe7"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:6676267b-9cff-5a68-7221-857ef62d1948",
"resource": {
"resourceType": "DiagnosticReport",
"id": "6676267b-9cff-5a68-7221-857ef62d1948",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T02:26:31+02:00",
"issued": "2016-06-20T02:26:31.760+02:00",
"result": [ {
"reference": "urn:uuid:f1359c6c-beaa-04a8-4816-8d5162e59cdb",
"display": "Total score [HARK]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:91fad822-61bc-040d-7cd8-243948dc98c8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "91fad822-61bc-040d-7cd8-243948dc98c8",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T03:04:31+02:00",
"issued": "2016-06-20T03:04:31.760+02:00",
"result": [ {
"reference": "urn:uuid:86b7f0b7-037c-c517-531d-d502c1ae8192",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:f6d0f3b4-5845-1934-7292-538f9c9e4e7c",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f6d0f3b4-5845-1934-7292-538f9c9e4e7c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
},
"effectiveDateTime": "2016-06-20T01:23:18+02:00",
"issued": "2016-06-20T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTYtMDYtMjAKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDE5IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBzdHJlcHRvY29jY2FsIHNvcmUgdGhyb2F0IChkaXNvcmRlciksIGFjdXRlIGJhY3RlcmlhbCBzaW51c2l0aXMgKGRpc29yZGVyKSwgYWN1dGUgYnJvbmNoaXRpcyAoZGlzb3JkZXIpLCByaXNrIGFjdGl2aXR5IGludm9sdmVtZW50IChmaW5kaW5nKSwgbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLCBub3QgaW4gbGFib3IgZm9yY2UgKGZpbmRpbmcpLCB1bmhlYWx0aHkgYWxjb2hvbCBkcmlua2luZyBiZWhhdmlvciAoZmluZGluZyksIGZ1bGwtdGltZSBlbXBsb3ltZW50IChmaW5kaW5nKSwgYWN1dGUgdmlyYWwgcGhhcnluZ2l0aXMgKGRpc29yZGVyKSwgc3RyZXNzIChmaW5kaW5nKS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KIFBhdGllbnQgaWRlbnRpZmllcyBhcyBoZXRlcm9zZXh1YWwuCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgogUGF0aWVudCBoYXMgY29tcGxldGVkIHNvbWUgY29sbGVnZSBjb3Vyc2VzLgpQYXRpZW50IGN1cnJlbnRseSBoYXMgTWVkaWNhaWQuCgojIEFsbGVyZ2llcwpObyBLbm93biBBbGxlcmdpZXMuCgojIE1lZGljYXRpb25zCnBlbmljaWxsaW4gdiBwb3Rhc3NpdW0gMjUwIG1nIG9yYWwgdGFibGV0OyBsaXNpbm9wcmlsIDEwIG1nIG9yYWwgdGFibGV0OyBhY2V0YW1pbm9waGVuIDMyNSBtZyBvcmFsIHRhYmxldDsgYWNldGFtaW5vcGhlbiAzMjUgbWcgLyBveHljb2RvbmUgaHlkcm9jaGxvcmlkZSAxMCBtZyBvcmFsIHRhYmxldCBbcGVyY29jZXRdOyBhbWxvZGlwaW5lIDIuNSBtZyBvcmFsIHRhYmxldDsgdHJhbWFkb2wgaHlkcm9jaGxvcmlkZSA1MCBtZyBvcmFsIHRhYmxldAoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuClBhdGllbnQgaXMgcHJlc2VudGluZyB3aXRoIHN0cmVzcyAoZmluZGluZyksIHZpY3RpbSBvZiBpbnRpbWF0ZSBwYXJ0bmVyIGFidXNlIChmaW5kaW5nKS4gCgojIyBQbGFuCgpUaGUgZm9sbG93aW5nIHByb2NlZHVyZXMgd2VyZSBjb25kdWN0ZWQ6Ci0gYXNzZXNzbWVudCBvZiBoZWFsdGggYW5kIHNvY2lhbCBjYXJlIG5lZWRzIChwcm9jZWR1cmUpCi0gc2NyZWVuaW5nIGZvciBkb21lc3RpYyBhYnVzZSAocHJvY2VkdXJlKQotIGRlcHJlc3Npb24gc2NyZWVuaW5nIChwcm9jZWR1cmUpCi0gZGVwcmVzc2lvbiBzY3JlZW5pbmcgdXNpbmcgcGF0aWVudCBoZWFsdGggcXVlc3Rpb25uYWlyZSB0d28taXRlbSBzY29yZSAocHJvY2VkdXJlKQpUaGUgcGF0aWVudCB3YXMgcHJlc2NyaWJlZCB0aGUgZm9sbG93aW5nIG1lZGljYXRpb25zOgotIGFjZXRhbWlub3BoZW4gMzI1IG1nIC8gb3h5Y29kb25lIGh5ZHJvY2hsb3JpZGUgMTAgbWcgb3JhbCB0YWJsZXQgW3BlcmNvY2V0XQotIHRyYW1hZG9sIGh5ZHJvY2hsb3JpZGUgNTAgbWcgb3JhbCB0YWJsZXQKLSBsaXNpbm9wcmlsIDEwIG1nIG9yYWwgdGFibGV0Ci0gYW1sb2RpcGluZSAyLjUgbWcgb3JhbCB0YWJsZXQK"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d6386eca-fe56-7a5c-9fe2-aaa90955547f",
"resource": {
"resourceType": "DocumentReference",
"id": "d6386eca-fe56-7a5c-9fe2-aaa90955547f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:f6d0f3b4-5845-1934-7292-538f9c9e4e7c"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-06-20T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ],
"period": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:7988c0f9-937a-3596-c836-014de8c74c57",
"resource": {
"resourceType": "Claim",
"id": "7988c0f9-937a-3596-c836-014de8c74c57",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:93946d58-15c2-8dd5-862c-a7e60587fb8b"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:eccb23fd-1787-04fb-83cb-71041ae9660f"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:420ade84-b922-8d05-c5e7-cc068624e747"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:cb2e7174-d7e6-3e8f-1757-72dcaaea3c82"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:5751ad70-d33c-1cb9-1458-5b70d47734c6"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:af13f42c-dd5c-2bf1-dd74-49497534f0d0"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
}, {
"sequence": 2,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
}
}, {
"sequence": 4,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "706893006",
"display": "Victim of intimate partner abuse (finding)"
} ],
"text": "Victim of intimate partner abuse (finding)"
}
}, {
"sequence": 5,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 516.95,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b8d7bfd4-4e94-aec2-8572-639784f0834a",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b8d7bfd4-4e94-aec2-8572-639784f0834a",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "7988c0f9-937a-3596-c836-014de8c74c57"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-06-20T01:58:08+02:00",
"end": "2017-06-20T01:58:08+02:00"
},
"created": "2016-06-20T01:58:08+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:7988c0f9-937a-3596-c836-014de8c74c57"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:93946d58-15c2-8dd5-862c-a7e60587fb8b"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:eccb23fd-1787-04fb-83cb-71041ae9660f"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185349003",
"display": "Encounter for check up (procedure)"
} ],
"text": "Encounter for check up (procedure)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
} ]
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 4,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "706893006",
"display": "Victim of intimate partner abuse (finding)"
} ],
"text": "Victim of intimate partner abuse (finding)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2016-06-20T01:23:18+02:00",
"end": "2016-06-20T01:58:08+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 516.95,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1499.8079999999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241",
"resource": {
"resourceType": "Encounter",
"id": "a2226a6c-d971-4d96-d800-c7befef9b241",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a2226a6c-d971-4d96-d800-c7befef9b241"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:439bd519-d599-2d6a-33ef-f082268b85c9",
"resource": {
"resourceType": "Observation",
"id": "439bd519-d599-2d6a-33ef-f082268b85c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5f8f00bd-545f-317f-04a2-065898b7c61f",
"resource": {
"resourceType": "Observation",
"id": "5f8f00bd-545f-317f-04a2-065898b7c61f",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f02b4616-f36e-0803-e49e-7214c5bb590b",
"resource": {
"resourceType": "Observation",
"id": "f02b4616-f36e-0803-e49e-7214c5bb590b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 88,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9be1471f-6697-3ea7-88f8-01f8797911ca",
"resource": {
"resourceType": "Observation",
"id": "9be1471f-6697-3ea7-88f8-01f8797911ca",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 26.32,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ed5b4f8a-c206-3584-fa71-4362d57c7a36",
"resource": {
"resourceType": "Observation",
"id": "ed5b4f8a-c206-3584-fa71-4362d57c7a36",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 79,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 94,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9a6c037a-4639-ac37-71db-9b5d27b7efa4",
"resource": {
"resourceType": "Observation",
"id": "9a6c037a-4639-ac37-71db-9b5d27b7efa4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 72,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4df58647-c7d8-347e-07bf-c6b0d4e094e4",
"resource": {
"resourceType": "Observation",
"id": "4df58647-c7d8-347e-07bf-c6b0d4e094e4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1a9501d6-263e-875c-0db8-39bce00f69e1",
"resource": {
"resourceType": "Observation",
"id": "1a9501d6-263e-875c-0db8-39bce00f69e1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b0741c70-7b05-9439-5253-05b55b833391",
"resource": {
"resourceType": "Observation",
"id": "b0741c70-7b05-9439-5253-05b55b833391",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T01:15:31+01:00",
"issued": "2016-11-14T01:15:31.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
} ],
"text": "A little bit"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA46-8",
"display": "Other"
} ],
"text": "Other"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:623d5cf0-379f-bfc5-07bc-2c3e46bc04d2",
"resource": {
"resourceType": "Observation",
"id": "623d5cf0-379f-bfc5-07bc-2c3e46bc04d2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T01:39:21+01:00",
"issued": "2016-11-14T01:39:21.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7912e319-01dc-6483-b64e-cc8cdec4c5f5",
"resource": {
"resourceType": "Observation",
"id": "7912e319-01dc-6483-b64e-cc8cdec4c5f5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76504-0",
"display": "Total score [HARK]"
} ],
"text": "Total score [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T02:17:25+01:00",
"issued": "2016-11-14T02:17:25.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f0034cf2-86aa-6e0b-7b7f-dbef934a9aba",
"resource": {
"resourceType": "Observation",
"id": "f0034cf2-86aa-6e0b-7b7f-dbef934a9aba",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T02:54:12+01:00",
"issued": "2016-11-14T02:54:12.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9486058b-2912-57d4-3c45-95843355e9dd",
"resource": {
"resourceType": "Observation",
"id": "9486058b-2912-57d4-3c45-95843355e9dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82667-7",
"display": "Total score [DAST-10]"
} ],
"text": "Total score [DAST-10]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T03:32:14+01:00",
"issued": "2016-11-14T03:32:14.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:942de4b5-983e-43fb-2d8b-a080b48fa83d",
"resource": {
"resourceType": "Procedure",
"id": "942de4b5-983e-43fb-2d8b-a080b48fa83d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f2a14b6c-31b0-ae7f-ddee-527d7f384f6b",
"resource": {
"resourceType": "Procedure",
"id": "f2a14b6c-31b0-ae7f-ddee-527d7f384f6b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2016-11-14T01:39:21+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:dd5a25c0-bcb7-e539-97b7-bbc81857ceb8",
"resource": {
"resourceType": "Procedure",
"id": "dd5a25c0-bcb7-e539-97b7-bbc81857ceb8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T01:39:21+01:00",
"end": "2016-11-14T02:17:25+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d7dfe28d-ffb5-b09e-a358-79d6893256a1",
"resource": {
"resourceType": "Procedure",
"id": "d7dfe28d-ffb5-b09e-a358-79d6893256a1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T02:17:25+01:00",
"end": "2016-11-14T02:28:37+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6bb0644d-025f-9802-8525-e8dd6c423b03",
"resource": {
"resourceType": "Procedure",
"id": "6bb0644d-025f-9802-8525-e8dd6c423b03",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T02:28:37+01:00",
"end": "2016-11-14T02:54:12+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:52155173-d4b4-9337-2401-e8e1dc98f78f",
"resource": {
"resourceType": "Procedure",
"id": "52155173-d4b4-9337-2401-e8e1dc98f78f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T02:54:12+01:00",
"end": "2016-11-14T03:04:33+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:88a43f57-b1ca-c7e1-f3e8-f24b422c692b",
"resource": {
"resourceType": "Procedure",
"id": "88a43f57-b1ca-c7e1-f3e8-f24b422c692b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"performedPeriod": {
"start": "2016-11-14T03:04:33+01:00",
"end": "2016-11-14T03:32:14+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:ee148de7-f9f1-1f6e-f027-d52ebc17d52f",
"resource": {
"resourceType": "MedicationRequest",
"id": "ee148de7-f9f1-1f6e-f027-d52ebc17d52f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"authoredOn": "2016-11-14T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:23baa7fe-9277-8e7b-f614-998040414266",
"resource": {
"resourceType": "Claim",
"id": "23baa7fe-9277-8e7b-f614-998040414266",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:ee148de7-f9f1-1f6e-f027-d52ebc17d52f"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:016ccce7-16bc-2463-33d7-5bf41f7be3c2",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "016ccce7-16bc-2463-33d7-5bf41f7be3c2",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "23baa7fe-9277-8e7b-f614-998040414266"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2017-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:23baa7fe-9277-8e7b-f614-998040414266"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:59fb00d0-2b62-ac26-fa0d-b26825eeef8a",
"resource": {
"resourceType": "MedicationRequest",
"id": "59fb00d0-2b62-ac26-fa0d-b26825eeef8a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"authoredOn": "2016-11-14T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:2f090d79-09c2-8109-32be-e1159df9eb31",
"resource": {
"resourceType": "Claim",
"id": "2f090d79-09c2-8109-32be-e1159df9eb31",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:59fb00d0-2b62-ac26-fa0d-b26825eeef8a"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:77d586ea-cf44-e543-68a6-12e6c5370bec",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "77d586ea-cf44-e543-68a6-12e6c5370bec",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2f090d79-09c2-8109-32be-e1159df9eb31"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2017-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:2f090d79-09c2-8109-32be-e1159df9eb31"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e3dc5369-0a6b-548f-6439-a54f72a53441",
"resource": {
"resourceType": "MedicationRequest",
"id": "e3dc5369-0a6b-548f-6439-a54f72a53441",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"authoredOn": "2016-11-14T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:37b176fe-c240-40ca-bff6-a6b4af7aa3ea",
"resource": {
"resourceType": "Claim",
"id": "37b176fe-c240-40ca-bff6-a6b4af7aa3ea",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:e3dc5369-0a6b-548f-6439-a54f72a53441"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:018102d2-16d3-d34f-33eb-91df1f9392ae",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "018102d2-16d3-d34f-33eb-91df1f9392ae",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "37b176fe-c240-40ca-bff6-a6b4af7aa3ea"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2017-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:37b176fe-c240-40ca-bff6-a6b4af7aa3ea"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:feadee4b-63b8-02d5-b710-6aeea7941492",
"resource": {
"resourceType": "MedicationRequest",
"id": "feadee4b-63b8-02d5-b710-6aeea7941492",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"authoredOn": "2016-11-14T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:93bab437-d75b-bd9d-2d26-920682587970",
"resource": {
"resourceType": "Claim",
"id": "93bab437-d75b-bd9d-2d26-920682587970",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:feadee4b-63b8-02d5-b710-6aeea7941492"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": {
"value": 1.08,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:48ec3add-a614-4f9b-40d8-212af7f5f0b3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "48ec3add-a614-4f9b-40d8-212af7f5f0b3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "93bab437-d75b-bd9d-2d26-920682587970"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2017-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:93bab437-d75b-bd9d-2d26-920682587970"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.08,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:fbdfe839-3ef7-c477-2ceb-c63f9d4cb37b",
"resource": {
"resourceType": "Immunization",
"id": "fbdfe839-3ef7-c477-2ceb-c63f9d4cb37b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"occurrenceDateTime": "2016-11-14T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:c76c7a9b-5e05-ee1b-f2d9-6f0e26f74ca8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "c76c7a9b-5e05-ee1b-f2d9-6f0e26f74ca8",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T01:39:21+01:00",
"issued": "2016-11-14T01:39:21.760+01:00",
"result": [ {
"reference": "urn:uuid:623d5cf0-379f-bfc5-07bc-2c3e46bc04d2",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:e5f71eb3-e53b-2af3-82c1-2b46764a9253",
"resource": {
"resourceType": "DiagnosticReport",
"id": "e5f71eb3-e53b-2af3-82c1-2b46764a9253",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T02:17:25+01:00",
"issued": "2016-11-14T02:17:25.760+01:00",
"result": [ {
"reference": "urn:uuid:7912e319-01dc-6483-b64e-cc8cdec4c5f5",
"display": "Total score [HARK]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:401b5f8a-0ade-d8e2-4736-67bfde768dee",
"resource": {
"resourceType": "DiagnosticReport",
"id": "401b5f8a-0ade-d8e2-4736-67bfde768dee",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T02:54:12+01:00",
"issued": "2016-11-14T02:54:12.760+01:00",
"result": [ {
"reference": "urn:uuid:f0034cf2-86aa-6e0b-7b7f-dbef934a9aba",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:f5a08422-ecfd-96b0-0dad-6789bc8bce9d",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f5a08422-ecfd-96b0-0dad-6789bc8bce9d",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T03:32:14+01:00",
"issued": "2016-11-14T03:32:14.760+01:00",
"result": [ {
"reference": "urn:uuid:9486058b-2912-57d4-3c45-95843355e9dd",
"display": "Total score [DAST-10]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:4d600b30-0dae-de75-cccd-1c94e2cccd7a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "4d600b30-0dae-de75-cccd-1c94e2cccd7a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
},
"effectiveDateTime": "2016-11-14T00:23:18+01:00",
"issued": "2016-11-14T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:a315854e-5ec4-e43a-928d-b149c74f0ae3",
"resource": {
"resourceType": "DocumentReference",
"id": "a315854e-5ec4-e43a-928d-b149c74f0ae3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:4d600b30-0dae-de75-cccd-1c94e2cccd7a"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2016-11-14T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ],
"period": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:790f4fde-f7b1-722b-caac-f1ebaddcb9fd",
"resource": {
"resourceType": "Claim",
"id": "790f4fde-f7b1-722b-caac-f1ebaddcb9fd",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:fbdfe839-3ef7-c477-2ceb-c63f9d4cb37b"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:942de4b5-983e-43fb-2d8b-a080b48fa83d"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:f2a14b6c-31b0-ae7f-ddee-527d7f384f6b"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:dd5a25c0-bcb7-e539-97b7-bbc81857ceb8"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:d7dfe28d-ffb5-b09e-a358-79d6893256a1"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:6bb0644d-025f-9802-8525-e8dd6c423b03"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:52155173-d4b4-9337-2401-e8e1dc98f78f"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:88a43f57-b1ca-c7e1-f3e8-f24b422c692b"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 13,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 704.20,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ba2dbacb-1e71-2a6a-077f-9c6c36691651",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ba2dbacb-1e71-2a6a-077f-9c6c36691651",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "790f4fde-f7b1-722b-caac-f1ebaddcb9fd"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2016-11-14T01:15:31+01:00",
"end": "2017-11-14T01:15:31+01:00"
},
"created": "2016-11-14T01:15:31+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:790f4fde-f7b1-722b-caac-f1ebaddcb9fd"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"servicedPeriod": {
"start": "2016-11-14T00:23:18+01:00",
"end": "2016-11-14T01:15:31+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 704.20,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2763.2960000000003,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3",
"resource": {
"resourceType": "Encounter",
"id": "ce709836-9959-94a0-6834-ac0a72e551e3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "ce709836-9959-94a0-6834-ac0a72e551e3"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:b426cb61-ec4d-6524-edd1-68314bf56e70",
"resource": {
"resourceType": "Observation",
"id": "b426cb61-ec4d-6524-edd1-68314bf56e70",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b9c5401e-00cf-daff-3ba8-2913c17ddcee",
"resource": {
"resourceType": "Observation",
"id": "b9c5401e-00cf-daff-3ba8-2913c17ddcee",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:19f1ebbd-634d-59f7-c1af-399bae4959e4",
"resource": {
"resourceType": "Observation",
"id": "19f1ebbd-634d-59f7-c1af-399bae4959e4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 89.5,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cb6ddeef-2b01-1bbe-9924-79d2665291bd",
"resource": {
"resourceType": "Observation",
"id": "cb6ddeef-2b01-1bbe-9924-79d2665291bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 26.79,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8410664e-751b-bea9-dcff-0072289fbfd2",
"resource": {
"resourceType": "Observation",
"id": "8410664e-751b-bea9-dcff-0072289fbfd2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 80,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 106,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:98a0367d-eb3a-a453-7ce6-bd46b88fed71",
"resource": {
"resourceType": "Observation",
"id": "98a0367d-eb3a-a453-7ce6-bd46b88fed71",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 77,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7489c15b-884f-6fb2-4b3f-ff28cfe0d6e5",
"resource": {
"resourceType": "Observation",
"id": "7489c15b-884f-6fb2-4b3f-ff28cfe0d6e5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8e9980ea-5553-25b6-698d-351e6e9c07df",
"resource": {
"resourceType": "Observation",
"id": "8e9980ea-5553-25b6-698d-351e6e9c07df",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "6690-2",
"display": "Leukocytes [#/volume] in Blood by Automated count"
} ],
"text": "Leukocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 6.3501,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:07766113-91a0-3024-bae4-24810a45d1c2",
"resource": {
"resourceType": "Observation",
"id": "07766113-91a0-3024-bae4-24810a45d1c2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "789-8",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
} ],
"text": "Erythrocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 4.9043,
"unit": "10*6/uL",
"system": "http://unitsofmeasure.org",
"code": "10*6/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8bdcf817-7ab6-c4f0-d562-a8bc7f496101",
"resource": {
"resourceType": "Observation",
"id": "8bdcf817-7ab6-c4f0-d562-a8bc7f496101",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "718-7",
"display": "Hemoglobin [Mass/volume] in Blood"
} ],
"text": "Hemoglobin [Mass/volume] in Blood"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 15.035,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6350356d-cb82-b432-b34f-0efd1fed1490",
"resource": {
"resourceType": "Observation",
"id": "6350356d-cb82-b432-b34f-0efd1fed1490",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "4544-3",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
} ],
"text": "Hematocrit [Volume Fraction] of Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 47.254,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:776f1e8d-a893-a91a-c015-ffaa90529909",
"resource": {
"resourceType": "Observation",
"id": "776f1e8d-a893-a91a-c015-ffaa90529909",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "787-2",
"display": "MCV [Entitic volume] by Automated count"
} ],
"text": "MCV [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 92.774,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:905170ab-4cef-d251-7e6e-5f4016b5b18d",
"resource": {
"resourceType": "Observation",
"id": "905170ab-4cef-d251-7e6e-5f4016b5b18d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "785-6",
"display": "MCH [Entitic mass] by Automated count"
} ],
"text": "MCH [Entitic mass] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 29.62,
"unit": "pg",
"system": "http://unitsofmeasure.org",
"code": "pg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2845a76c-afa2-3e5a-04c1-534b4b9008b0",
"resource": {
"resourceType": "Observation",
"id": "2845a76c-afa2-3e5a-04c1-534b4b9008b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "786-4",
"display": "MCHC [Mass/volume] by Automated count"
} ],
"text": "MCHC [Mass/volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 33.519,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5029a8de-f2b7-93d7-b9d3-f27e8e775106",
"resource": {
"resourceType": "Observation",
"id": "5029a8de-f2b7-93d7-b9d3-f27e8e775106",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "21000-5",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
} ],
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 40.696,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3dea1501-6984-4ebc-910e-af1b87348036",
"resource": {
"resourceType": "Observation",
"id": "3dea1501-6984-4ebc-910e-af1b87348036",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "777-3",
"display": "Platelets [#/volume] in Blood by Automated count"
} ],
"text": "Platelets [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 399.46,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:898b03bf-4806-22d4-d3d2-d12433525896",
"resource": {
"resourceType": "Observation",
"id": "898b03bf-4806-22d4-d3d2-d12433525896",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32207-3",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 475.54,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:25876639-b0f6-e12c-f91a-6a03d37794bf",
"resource": {
"resourceType": "Observation",
"id": "25876639-b0f6-e12c-f91a-6a03d37794bf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32623-1",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueQuantity": {
"value": 10.787,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:55949dc4-7408-2da0-db13-960f06f9c33e",
"resource": {
"resourceType": "Observation",
"id": "55949dc4-7408-2da0-db13-960f06f9c33e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b854d1db-32b1-0892-63e2-5f4eddefb975",
"resource": {
"resourceType": "Observation",
"id": "b854d1db-32b1-0892-63e2-5f4eddefb975",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T01:01:21+01:00",
"issued": "2017-11-20T01:01:21.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30132-7",
"display": "5 or more times a week"
} ],
"text": "5 or more times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30125-1",
"display": "Food"
} ],
"text": "Food"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3f6ffb9c-1603-0b19-a0df-37d960deb83c",
"resource": {
"resourceType": "Observation",
"id": "3f6ffb9c-1603-0b19-a0df-37d960deb83c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "70274-6",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T01:24:22+01:00",
"issued": "2017-11-20T01:24:22.760+01:00",
"valueQuantity": {
"value": 7,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5368d8f3-adcc-5519-f78c-5ee8bcc905c9",
"resource": {
"resourceType": "Observation",
"id": "5368d8f3-adcc-5519-f78c-5ee8bcc905c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76504-0",
"display": "Total score [HARK]"
} ],
"text": "Total score [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T01:57:09+01:00",
"issued": "2017-11-20T01:57:09.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:03554ca1-db64-9aec-bd95-9655f0f975ac",
"resource": {
"resourceType": "Observation",
"id": "03554ca1-db64-9aec-bd95-9655f0f975ac",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T02:30:04+01:00",
"issued": "2017-11-20T02:30:04.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:7d498152-0429-1d4a-bc7e-fbec5213c131",
"resource": {
"resourceType": "Observation",
"id": "7d498152-0429-1d4a-bc7e-fbec5213c131",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82667-7",
"display": "Total score [DAST-10]"
} ],
"text": "Total score [DAST-10]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T03:02:24+01:00",
"issued": "2017-11-20T03:02:24.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0084a529-4288-c275-2fdf-8add7cb0854d",
"resource": {
"resourceType": "Procedure",
"id": "0084a529-4288-c275-2fdf-8add7cb0854d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:be10084f-4faa-a7b3-d6f3-fdde03292eef",
"resource": {
"resourceType": "Procedure",
"id": "be10084f-4faa-a7b3-d6f3-fdde03292eef",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:22ca8a42-95f4-543d-1428-092daa665927",
"resource": {
"resourceType": "Procedure",
"id": "22ca8a42-95f4-543d-1428-092daa665927",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2017-11-20T01:24:22+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:462a7f91-5f0e-a23c-04c8-84772fde5035",
"resource": {
"resourceType": "Procedure",
"id": "462a7f91-5f0e-a23c-04c8-84772fde5035",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T01:24:22+01:00",
"end": "2017-11-20T01:57:09+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:24777b8a-2af8-5de7-2ece-612610083830",
"resource": {
"resourceType": "Procedure",
"id": "24777b8a-2af8-5de7-2ece-612610083830",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T01:57:09+01:00",
"end": "2017-11-20T02:07:37+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:dd119758-9b84-1b11-2116-42f4452b0e15",
"resource": {
"resourceType": "Procedure",
"id": "dd119758-9b84-1b11-2116-42f4452b0e15",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T02:07:37+01:00",
"end": "2017-11-20T02:30:04+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8f4b9164-a0a9-dba3-8590-719a301088a2",
"resource": {
"resourceType": "Procedure",
"id": "8f4b9164-a0a9-dba3-8590-719a301088a2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T02:30:04+01:00",
"end": "2017-11-20T02:41:00+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c20be82d-eb4f-c3e6-fbad-d00c86667b9a",
"resource": {
"resourceType": "Procedure",
"id": "c20be82d-eb4f-c3e6-fbad-d00c86667b9a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"performedPeriod": {
"start": "2017-11-20T02:41:00+01:00",
"end": "2017-11-20T03:02:24+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:4f1065f9-ace0-f2af-6ae8-a3d9a4a080c7",
"resource": {
"resourceType": "MedicationRequest",
"id": "4f1065f9-ace0-f2af-6ae8-a3d9a4a080c7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"authoredOn": "2017-11-20T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:d8ba941c-ff68-5faa-8b12-20e4e1455e02",
"resource": {
"resourceType": "Claim",
"id": "d8ba941c-ff68-5faa-8b12-20e4e1455e02",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:4f1065f9-ace0-f2af-6ae8-a3d9a4a080c7"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:226f2e69-1124-987d-a298-6308438f278a",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "226f2e69-1124-987d-a298-6308438f278a",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "d8ba941c-ff68-5faa-8b12-20e4e1455e02"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2018-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:d8ba941c-ff68-5faa-8b12-20e4e1455e02"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c621fd06-b9bc-945e-a4f9-cb74149bdfa6",
"resource": {
"resourceType": "MedicationRequest",
"id": "c621fd06-b9bc-945e-a4f9-cb74149bdfa6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"authoredOn": "2017-11-20T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:c9424a94-8d90-8f26-a678-877483ed6008",
"resource": {
"resourceType": "Claim",
"id": "c9424a94-8d90-8f26-a678-877483ed6008",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:c621fd06-b9bc-945e-a4f9-cb74149bdfa6"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:5f7314a9-1ae4-2964-0f78-3b3d01317b46",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "5f7314a9-1ae4-2964-0f78-3b3d01317b46",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "c9424a94-8d90-8f26-a678-877483ed6008"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2018-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:c9424a94-8d90-8f26-a678-877483ed6008"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0ff1c2f5-84bd-292f-7684-636c460e25d0",
"resource": {
"resourceType": "MedicationRequest",
"id": "0ff1c2f5-84bd-292f-7684-636c460e25d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"authoredOn": "2017-11-20T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:1ebf1748-3089-6a47-31bc-c1bcface0dec",
"resource": {
"resourceType": "Claim",
"id": "1ebf1748-3089-6a47-31bc-c1bcface0dec",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:0ff1c2f5-84bd-292f-7684-636c460e25d0"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:2b76c872-3231-93cd-2bc9-31b09706b1e8",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "2b76c872-3231-93cd-2bc9-31b09706b1e8",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1ebf1748-3089-6a47-31bc-c1bcface0dec"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2018-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:1ebf1748-3089-6a47-31bc-c1bcface0dec"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:e6b9522a-6a75-60c8-072b-96960b0995df",
"resource": {
"resourceType": "MedicationRequest",
"id": "e6b9522a-6a75-60c8-072b-96960b0995df",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"authoredOn": "2017-11-20T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:a4909f99-411d-46bb-e1a6-6dce9f9b652f",
"resource": {
"resourceType": "Claim",
"id": "a4909f99-411d-46bb-e1a6-6dce9f9b652f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:e6b9522a-6a75-60c8-072b-96960b0995df"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": {
"value": 1.19,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:ed7451b0-4c29-7ee1-56b2-b6856a447f34",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "ed7451b0-4c29-7ee1-56b2-b6856a447f34",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a4909f99-411d-46bb-e1a6-6dce9f9b652f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2018-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:a4909f99-411d-46bb-e1a6-6dce9f9b652f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.19,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:dfb0251a-0894-04ed-7e79-b81a7d7024af",
"resource": {
"resourceType": "Immunization",
"id": "dfb0251a-0894-04ed-7e79-b81a7d7024af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"occurrenceDateTime": "2017-11-20T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:8f0c7bf0-cdc1-d127-6a01-460f41b11cdf",
"resource": {
"resourceType": "Immunization",
"id": "8f0c7bf0-cdc1-d127-6a01-460f41b11cdf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "113",
"display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
} ],
"text": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"occurrenceDateTime": "2017-11-20T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:5f96f75a-ef45-599b-881b-30a9fdb24f8d",
"resource": {
"resourceType": "Immunization",
"id": "5f96f75a-ef45-599b-881b-30a9fdb24f8d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"occurrenceDateTime": "2017-11-20T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:5985428d-f598-48ac-a45c-48062905eaa0",
"resource": {
"resourceType": "Immunization",
"id": "5985428d-f598-48ac-a45c-48062905eaa0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"occurrenceDateTime": "2017-11-20T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:4ed35427-e3dc-7a52-c665-58ad31381131",
"resource": {
"resourceType": "DiagnosticReport",
"id": "4ed35427-e3dc-7a52-c665-58ad31381131",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"performer": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
} ],
"result": [ {
"reference": "urn:uuid:8e9980ea-5553-25b6-698d-351e6e9c07df",
"display": "Leukocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:07766113-91a0-3024-bae4-24810a45d1c2",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:8bdcf817-7ab6-c4f0-d562-a8bc7f496101",
"display": "Hemoglobin [Mass/volume] in Blood"
}, {
"reference": "urn:uuid:6350356d-cb82-b432-b34f-0efd1fed1490",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
}, {
"reference": "urn:uuid:776f1e8d-a893-a91a-c015-ffaa90529909",
"display": "MCV [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:905170ab-4cef-d251-7e6e-5f4016b5b18d",
"display": "MCH [Entitic mass] by Automated count"
}, {
"reference": "urn:uuid:2845a76c-afa2-3e5a-04c1-534b4b9008b0",
"display": "MCHC [Mass/volume] by Automated count"
}, {
"reference": "urn:uuid:5029a8de-f2b7-93d7-b9d3-f27e8e775106",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:3dea1501-6984-4ebc-910e-af1b87348036",
"display": "Platelets [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:898b03bf-4806-22d4-d3d2-d12433525896",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:25876639-b0f6-e12c-f91a-6a03d37794bf",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:d96ec164-bf90-030e-f46a-ca0246745839",
"resource": {
"resourceType": "DiagnosticReport",
"id": "d96ec164-bf90-030e-f46a-ca0246745839",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T01:24:22+01:00",
"issued": "2017-11-20T01:24:22.760+01:00",
"result": [ {
"reference": "urn:uuid:3f6ffb9c-1603-0b19-a0df-37d960deb83c",
"display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:3bcba0af-053c-b070-b85f-b1d6368a5b2a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "3bcba0af-053c-b070-b85f-b1d6368a5b2a",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T01:57:09+01:00",
"issued": "2017-11-20T01:57:09.760+01:00",
"result": [ {
"reference": "urn:uuid:5368d8f3-adcc-5519-f78c-5ee8bcc905c9",
"display": "Total score [HARK]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:b48e586e-87ba-e7d3-d214-2f3da1ebbced",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b48e586e-87ba-e7d3-d214-2f3da1ebbced",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T02:30:04+01:00",
"issued": "2017-11-20T02:30:04.760+01:00",
"result": [ {
"reference": "urn:uuid:03554ca1-db64-9aec-bd95-9655f0f975ac",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:88d064e3-4c04-049d-a3f0-a1477b8f5c02",
"resource": {
"resourceType": "DiagnosticReport",
"id": "88d064e3-4c04-049d-a3f0-a1477b8f5c02",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T03:02:24+01:00",
"issued": "2017-11-20T03:02:24.760+01:00",
"result": [ {
"reference": "urn:uuid:7d498152-0429-1d4a-bc7e-fbec5213c131",
"display": "Total score [DAST-10]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:acb1b841-354c-5f9f-1740-afc3f502e842",
"resource": {
"resourceType": "DiagnosticReport",
"id": "acb1b841-354c-5f9f-1740-afc3f502e842",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
},
"effectiveDateTime": "2017-11-20T00:23:18+01:00",
"issued": "2017-11-20T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:12326844-6e6f-f71c-c677-fb98e62c0d19",
"resource": {
"resourceType": "DocumentReference",
"id": "12326844-6e6f-f71c-c677-fb98e62c0d19",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:acb1b841-354c-5f9f-1740-afc3f502e842"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2017-11-20T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ],
"period": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:341d13d0-165f-1633-1254-d777b5d01259",
"resource": {
"resourceType": "Claim",
"id": "341d13d0-165f-1633-1254-d777b5d01259",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:dfb0251a-0894-04ed-7e79-b81a7d7024af"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:8f0c7bf0-cdc1-d127-6a01-460f41b11cdf"
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:5f96f75a-ef45-599b-881b-30a9fdb24f8d"
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:5985428d-f598-48ac-a45c-48062905eaa0"
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:0084a529-4288-c275-2fdf-8add7cb0854d"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:be10084f-4faa-a7b3-d6f3-fdde03292eef"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:22ca8a42-95f4-543d-1428-092daa665927"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:462a7f91-5f0e-a23c-04c8-84772fde5035"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:24777b8a-2af8-5de7-2ece-612610083830"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:dd119758-9b84-1b11-2116-42f4452b0e15"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:8f4b9164-a0a9-dba3-8590-719a301088a2"
}
}, {
"sequence": 8,
"procedureReference": {
"reference": "urn:uuid:c20be82d-eb4f-c3e6-fbad-d00c86667b9a"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "113",
"display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
} ],
"text": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 482.69,
"currency": "USD"
}
}, {
"sequence": 7,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"informationSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"informationSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 13,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 14,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 15,
"informationSequence": [ 8 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 16,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 17,
"procedureSequence": [ 8 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 18,
"informationSequence": [ 9 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1669.47,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:c29067fe-b322-95fa-61c2-d28dc0a2bf2f",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "c29067fe-b322-95fa-61c2-d28dc0a2bf2f",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "341d13d0-165f-1633-1254-d777b5d01259"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2017-11-20T01:01:21+01:00",
"end": "2018-11-20T01:01:21+01:00"
},
"created": "2017-11-20T01:01:21+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:341d13d0-165f-1633-1254-d777b5d01259"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "113",
"display": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
} ],
"text": "Td (adult), 5 Lf tetanus toxoid, preservative free, adsorbed"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "114",
"display": "meningococcal MCV4P"
} ],
"text": "meningococcal MCV4P"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 482.69,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 96.53800000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 386.15200000000004,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 482.69,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 482.69,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710841007",
"display": "Assessment of anxiety (procedure)"
} ],
"text": "Assessment of anxiety (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"informationSequence": [ 6 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "69737-5",
"display": "Generalized anxiety disorder 7 item (GAD-7)"
} ],
"text": "Generalized anxiety disorder 7 item (GAD-7)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"informationSequence": [ 7 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 14,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 15,
"informationSequence": [ 8 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 16,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 17,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "713106006",
"display": "Screening for drug abuse (procedure)"
} ],
"text": "Screening for drug abuse (procedure)"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 18,
"informationSequence": [ 9 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "82666-9",
"display": "Drug Abuse Screening Test-10 [DAST-10]"
} ],
"text": "Drug Abuse Screening Test-10 [DAST-10]"
},
"servicedPeriod": {
"start": "2017-11-20T00:23:18+01:00",
"end": "2017-11-20T01:01:21+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1669.47,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 3535.512,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79",
"resource": {
"resourceType": "Encounter",
"id": "241c0ab0-a36a-1505-c1dc-05e620cdea79",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "241c0ab0-a36a-1505-c1dc-05e620cdea79"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:8a4693e5-cbfc-7c79-81d1-8fa84a8486a2",
"resource": {
"resourceType": "Condition",
"id": "8a4693e5-cbfc-7c79-81d1-8fa84a8486a2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
},
"onsetDateTime": "2018-05-03T06:23:18+02:00",
"abatementDateTime": "2018-05-26T06:23:18+02:00",
"recordedDate": "2018-05-03T06:23:18+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:00dd072a-bb1d-4d7b-58d3-d841086f2c6b",
"resource": {
"resourceType": "DiagnosticReport",
"id": "00dd072a-bb1d-4d7b-58d3-d841086f2c6b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
},
"effectiveDateTime": "2018-05-03T06:23:18+02:00",
"issued": "2018-05-03T06:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:9c3695b5-1e20-00aa-2b2e-1874d4a8b315",
"resource": {
"resourceType": "DocumentReference",
"id": "9c3695b5-1e20-00aa-2b2e-1874d4a8b315",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:00dd072a-bb1d-4d7b-58d3-d841086f2c6b"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2018-05-03T06:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
} ],
"period": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:9ac695d1-89a6-3246-945f-19194bcc20e2",
"resource": {
"resourceType": "Claim",
"id": "9ac695d1-89a6-3246-945f-19194bcc20e2",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
},
"created": "2018-05-03T06:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:8a4693e5-cbfc-7c79-81d1-8fa84a8486a2"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"encounter": [ {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
}
} ],
"total": {
"value": 85.55,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:02322d83-cdf3-8e25-dd82-6666401a3715",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "02322d83-cdf3-8e25-dd82-6666401a3715",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9ac695d1-89a6-3246-945f-19194bcc20e2"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-05-03T06:38:18+02:00",
"end": "2019-05-03T06:38:18+02:00"
},
"created": "2018-05-03T06:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:9ac695d1-89a6-3246-945f-19194bcc20e2"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:8a4693e5-cbfc-7c79-81d1-8fa84a8486a2"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "185345009",
"display": "Encounter for symptom"
} ],
"text": "Encounter for symptom"
},
"servicedPeriod": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "444814009",
"display": "Viral sinusitis (disorder)"
} ],
"text": "Viral sinusitis (disorder)"
},
"servicedPeriod": {
"start": "2018-05-03T06:23:18+02:00",
"end": "2018-05-03T06:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 85.55,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19",
"resource": {
"resourceType": "Encounter",
"id": "c2df96c6-96ee-8a93-a316-021da71a3d19",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "c2df96c6-96ee-8a93-a316-021da71a3d19"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:613af839-ea68-7438-ba6b-061aad17b7db",
"resource": {
"resourceType": "Condition",
"id": "613af839-ea68-7438-ba6b-061aad17b7db",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"onsetDateTime": "2018-11-26T00:23:18+01:00",
"abatementDateTime": "2018-11-26T00:23:18+01:00",
"recordedDate": "2018-11-26T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:c2dbe51b-6150-a3ad-baf8-1ac9278a878a",
"resource": {
"resourceType": "Observation",
"id": "c2dbe51b-6150-a3ad-baf8-1ac9278a878a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:9bd32664-8fed-2d70-f09b-e0eac86a531a",
"resource": {
"resourceType": "Observation",
"id": "9bd32664-8fed-2d70-f09b-e0eac86a531a",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f73161f6-047a-b599-04dc-f69fa45d27ce",
"resource": {
"resourceType": "Observation",
"id": "f73161f6-047a-b599-04dc-f69fa45d27ce",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 91.5,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4f82e56b-460d-f98a-7dfd-60ed8c746f92",
"resource": {
"resourceType": "Observation",
"id": "4f82e56b-460d-f98a-7dfd-60ed8c746f92",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 27.38,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:39ab5fad-543e-7096-a45d-b6cf8439352d",
"resource": {
"resourceType": "Observation",
"id": "39ab5fad-543e-7096-a45d-b6cf8439352d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 83,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 100,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:2c055a2d-5253-114b-6fff-93771e46ffe7",
"resource": {
"resourceType": "Observation",
"id": "2c055a2d-5253-114b-6fff-93771e46ffe7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 72,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e3a24fab-c7fc-3e3a-33bb-70dc1507cf31",
"resource": {
"resourceType": "Observation",
"id": "e3a24fab-c7fc-3e3a-33bb-70dc1507cf31",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ef4f168d-4589-06db-79f6-8b6fbf7f7b6f",
"resource": {
"resourceType": "Observation",
"id": "ef4f168d-4589-06db-79f6-8b6fbf7f7b6f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:49950bdc-392e-d3c5-0a74-ee162b3e0f91",
"resource": {
"resourceType": "Observation",
"id": "49950bdc-392e-d3c5-0a74-ee162b3e0f91",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:54:01+01:00",
"issued": "2018-11-26T00:54:01.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30131-9",
"display": "3 to 5 times a week"
} ],
"text": "3 to 5 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30125-1",
"display": "Food"
} ],
"text": "Food"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:8beeccd2-ef98-2cc7-e11a-d339d5c3d4aa",
"resource": {
"resourceType": "Observation",
"id": "8beeccd2-ef98-2cc7-e11a-d339d5c3d4aa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76504-0",
"display": "Total score [HARK]"
} ],
"text": "Total score [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T01:23:18+01:00",
"issued": "2018-11-26T01:23:18.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:334035aa-55f4-3145-7a60-a33f8d3ff8fc",
"resource": {
"resourceType": "Observation",
"id": "334035aa-55f4-3145-7a60-a33f8d3ff8fc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T01:56:42+01:00",
"issued": "2018-11-26T01:56:42.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f493503d-2e1e-21b0-41cf-f3d98fbf3846",
"resource": {
"resourceType": "Observation",
"id": "f493503d-2e1e-21b0-41cf-f3d98fbf3846",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T02:31:46+01:00",
"issued": "2018-11-26T02:31:46.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0a565295-6c35-50a9-1f76-5b22d5a7f92a",
"resource": {
"resourceType": "Procedure",
"id": "0a565295-6c35-50a9-1f76-5b22d5a7f92a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2e650bf9-ccd0-da62-71cb-219dffbc45c1",
"resource": {
"resourceType": "Procedure",
"id": "2e650bf9-ccd0-da62-71cb-219dffbc45c1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0892bbe9-1edd-4753-1817-8d50e08c2637",
"resource": {
"resourceType": "Procedure",
"id": "0892bbe9-1edd-4753-1817-8d50e08c2637",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2018-11-26T01:23:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a2fe1569-2d4a-9b03-bcb4-f03093846d5d",
"resource": {
"resourceType": "Procedure",
"id": "a2fe1569-2d4a-9b03-bcb4-f03093846d5d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T01:23:18+01:00",
"end": "2018-11-26T01:35:41+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7f4595cc-6ada-5f86-b6fb-f70d705c3e48",
"resource": {
"resourceType": "Procedure",
"id": "7f4595cc-6ada-5f86-b6fb-f70d705c3e48",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T01:35:41+01:00",
"end": "2018-11-26T01:56:42+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d1f3a384-a4c6-d534-3148-75573ff57db0",
"resource": {
"resourceType": "Procedure",
"id": "d1f3a384-a4c6-d534-3148-75573ff57db0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T01:56:42+01:00",
"end": "2018-11-26T02:07:10+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e43a94a5-9f3d-7207-72d8-27a0c2bb1e91",
"resource": {
"resourceType": "Procedure",
"id": "e43a94a5-9f3d-7207-72d8-27a0c2bb1e91",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"performedPeriod": {
"start": "2018-11-26T02:07:10+01:00",
"end": "2018-11-26T02:31:46+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:594416ee-18a0-fa00-482f-18f22fb3e2bd",
"resource": {
"resourceType": "MedicationRequest",
"id": "594416ee-18a0-fa00-482f-18f22fb3e2bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"authoredOn": "2018-11-26T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:f67fef60-8437-336c-209a-449e86113510",
"resource": {
"resourceType": "Claim",
"id": "f67fef60-8437-336c-209a-449e86113510",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:594416ee-18a0-fa00-482f-18f22fb3e2bd"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:acf5b7ef-d586-ff9d-9f1c-60e0b5002a3b",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "acf5b7ef-d586-ff9d-9f1c-60e0b5002a3b",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f67fef60-8437-336c-209a-449e86113510"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2019-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:f67fef60-8437-336c-209a-449e86113510"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b70d8c62-1988-e370-e3d3-96a85c0bba15",
"resource": {
"resourceType": "MedicationRequest",
"id": "b70d8c62-1988-e370-e3d3-96a85c0bba15",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"authoredOn": "2018-11-26T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:9344356b-46ec-b092-45e9-9a7e289075b9",
"resource": {
"resourceType": "Claim",
"id": "9344356b-46ec-b092-45e9-9a7e289075b9",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b70d8c62-1988-e370-e3d3-96a85c0bba15"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:fd98d434-7629-f605-a515-9ddeb261d450",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "fd98d434-7629-f605-a515-9ddeb261d450",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "9344356b-46ec-b092-45e9-9a7e289075b9"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2019-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:9344356b-46ec-b092-45e9-9a7e289075b9"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:599107f2-633d-e5ac-f433-84f0cbf71cf3",
"resource": {
"resourceType": "MedicationRequest",
"id": "599107f2-633d-e5ac-f433-84f0cbf71cf3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"authoredOn": "2018-11-26T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:6a8451fd-975c-faf0-43d5-22e58c947070",
"resource": {
"resourceType": "Claim",
"id": "6a8451fd-975c-faf0-43d5-22e58c947070",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:599107f2-633d-e5ac-f433-84f0cbf71cf3"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:92e7d644-d4b6-9a9d-7132-7dc19e60d6d5",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "92e7d644-d4b6-9a9d-7132-7dc19e60d6d5",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "6a8451fd-975c-faf0-43d5-22e58c947070"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2019-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:6a8451fd-975c-faf0-43d5-22e58c947070"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:71067f47-fc45-1d72-605d-bfd24e379950",
"resource": {
"resourceType": "MedicationRequest",
"id": "71067f47-fc45-1d72-605d-bfd24e379950",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"authoredOn": "2018-11-26T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:5b5b743c-634b-48f5-9966-8333f0b0ca2c",
"resource": {
"resourceType": "Claim",
"id": "5b5b743c-634b-48f5-9966-8333f0b0ca2c",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:71067f47-fc45-1d72-605d-bfd24e379950"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": {
"value": 1.12,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b21e81d2-3248-c0f8-a143-d590971ddf14",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b21e81d2-3248-c0f8-a143-d590971ddf14",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5b5b743c-634b-48f5-9966-8333f0b0ca2c"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2019-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:5b5b743c-634b-48f5-9966-8333f0b0ca2c"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.12,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ea89d63f-c3fa-c708-ef8e-d5c3d4fab1ae",
"resource": {
"resourceType": "Immunization",
"id": "ea89d63f-c3fa-c708-ef8e-d5c3d4fab1ae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"occurrenceDateTime": "2018-11-26T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:1f83b786-8ce5-1bc3-6485-d4e9cc9b7933",
"resource": {
"resourceType": "Immunization",
"id": "1f83b786-8ce5-1bc3-6485-d4e9cc9b7933",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"occurrenceDateTime": "2018-11-26T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:f6eecff9-45f0-fef2-44d5-019d6a4f761b",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f6eecff9-45f0-fef2-44d5-019d6a4f761b",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T01:23:18+01:00",
"issued": "2018-11-26T01:23:18.760+01:00",
"result": [ {
"reference": "urn:uuid:8beeccd2-ef98-2cc7-e11a-d339d5c3d4aa",
"display": "Total score [HARK]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:01841187-edaf-41a3-6bf8-dec4d6826aae",
"resource": {
"resourceType": "DiagnosticReport",
"id": "01841187-edaf-41a3-6bf8-dec4d6826aae",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T01:56:42+01:00",
"issued": "2018-11-26T01:56:42.760+01:00",
"result": [ {
"reference": "urn:uuid:334035aa-55f4-3145-7a60-a33f8d3ff8fc",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:19bce59a-82c0-100e-5cde-9655c8535bd0",
"resource": {
"resourceType": "DiagnosticReport",
"id": "19bce59a-82c0-100e-5cde-9655c8535bd0",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T02:31:46+01:00",
"issued": "2018-11-26T02:31:46.760+01:00",
"result": [ {
"reference": "urn:uuid:f493503d-2e1e-21b0-41cf-f3d98fbf3846",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7cca5cd4-dffa-b39d-a8c5-c55f06a3a315",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7cca5cd4-dffa-b39d-a8c5-c55f06a3a315",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
},
"effectiveDateTime": "2018-11-26T00:23:18+01:00",
"issued": "2018-11-26T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:dd324abd-6dd9-fd68-24ae-0c1d491e569e",
"resource": {
"resourceType": "DocumentReference",
"id": "dd324abd-6dd9-fd68-24ae-0c1d491e569e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:7cca5cd4-dffa-b39d-a8c5-c55f06a3a315"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2018-11-26T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ],
"period": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:3f0d0c6a-0f8d-d006-061d-f8f1f31ba0dd",
"resource": {
"resourceType": "Claim",
"id": "3f0d0c6a-0f8d-d006-061d-f8f1f31ba0dd",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:ea89d63f-c3fa-c708-ef8e-d5c3d4fab1ae"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:1f83b786-8ce5-1bc3-6485-d4e9cc9b7933"
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:613af839-ea68-7438-ba6b-061aad17b7db"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:0a565295-6c35-50a9-1f76-5b22d5a7f92a"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:2e650bf9-ccd0-da62-71cb-219dffbc45c1"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:0892bbe9-1edd-4753-1817-8d50e08c2637"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:a2fe1569-2d4a-9b03-bcb4-f03093846d5d"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:7f4595cc-6ada-5f86-b6fb-f70d705c3e48"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:d1f3a384-a4c6-d534-3148-75573ff57db0"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:e43a94a5-9f3d-7207-72d8-27a0c2bb1e91"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 4,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 5,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 384.36,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 9,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 11,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 12,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 13,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 14,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1224.56,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:399ca310-e1e8-8fa5-b169-3db4a566744f",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "399ca310-e1e8-8fa5-b169-3db4a566744f",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "3f0d0c6a-0f8d-d006-061d-f8f1f31ba0dd"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2018-11-26T00:54:01+01:00",
"end": "2019-11-26T00:54:01+01:00"
},
"created": "2018-11-26T00:54:01+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:3f0d0c6a-0f8d-d006-061d-f8f1f31ba0dd"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:613af839-ea68-7438-ba6b-061aad17b7db"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "43",
"display": "Hep B, adult"
} ],
"text": "Hep B, adult"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 384.36,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 76.87200000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 307.48800000000006,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 384.36,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 384.36,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 14,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2018-11-26T00:23:18+01:00",
"end": "2018-11-26T00:54:01+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1224.56,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2774.8,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f",
"resource": {
"resourceType": "Encounter",
"id": "a150f94c-ea8f-7023-4cb7-19d2f89a9e7f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:816232b1-4dab-943b-558c-a5823ed39c39",
"resource": {
"resourceType": "Condition",
"id": "816232b1-4dab-943b-558c-a5823ed39c39",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"onsetDateTime": "2019-12-02T00:23:18+01:00",
"abatementDateTime": "2019-12-02T00:23:18+01:00",
"recordedDate": "2019-12-02T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:483e3ebd-5b24-348a-854a-a47c240eb338",
"resource": {
"resourceType": "Condition",
"id": "483e3ebd-5b24-348a-854a-a47c240eb338",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"onsetDateTime": "2019-12-02T01:09:46+01:00",
"abatementDateTime": "2021-12-13T01:00:15+01:00",
"recordedDate": "2019-12-02T01:09:46+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:4406090b-c470-ef88-6b59-d6f81a00c8fe",
"resource": {
"resourceType": "Condition",
"id": "4406090b-c470-ef88-6b59-d6f81a00c8fe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"onsetDateTime": "2019-12-02T01:09:46+01:00",
"abatementDateTime": "2020-12-07T01:17:08+01:00",
"recordedDate": "2019-12-02T01:09:46+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:9b609f09-a38a-929e-a54f-1b69783fb431",
"resource": {
"resourceType": "Observation",
"id": "9b609f09-a38a-929e-a54f-1b69783fb431",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:58ea5662-bae2-9639-18d6-d5bfa7f1142a",
"resource": {
"resourceType": "Observation",
"id": "58ea5662-bae2-9639-18d6-d5bfa7f1142a",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e9ddc1f5-8704-7d1f-771b-cbd8f0b6cc87",
"resource": {
"resourceType": "Observation",
"id": "e9ddc1f5-8704-7d1f-771b-cbd8f0b6cc87",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 92.8,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1a824f12-af61-5ab1-dcb0-d994626cf733",
"resource": {
"resourceType": "Observation",
"id": "1a824f12-af61-5ab1-dcb0-d994626cf733",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 27.76,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4065a21f-798c-c642-8ce7-6294e2b5164f",
"resource": {
"resourceType": "Observation",
"id": "4065a21f-798c-c642-8ce7-6294e2b5164f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 83,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 106,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:03dba362-6280-8c2c-0c17-daff803475b1",
"resource": {
"resourceType": "Observation",
"id": "03dba362-6280-8c2c-0c17-daff803475b1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 94,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:24e0b13d-2f9a-f919-32e7-64f58ccb9960",
"resource": {
"resourceType": "Observation",
"id": "24e0b13d-2f9a-f919-32e7-64f58ccb9960",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3bb4b298-a14a-6df3-88d5-c9cf27f71373",
"resource": {
"resourceType": "Observation",
"id": "3bb4b298-a14a-6df3-88d5-c9cf27f71373",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:23284ba9-7bb7-458e-975f-337360e89dc1",
"resource": {
"resourceType": "Observation",
"id": "23284ba9-7bb7-458e-975f-337360e89dc1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T01:09:46+01:00",
"issued": "2019-12-02T01:09:46.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30130-1",
"display": "1 or 2 times a week"
} ],
"text": "1 or 2 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30128-5",
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
} ],
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30138-4",
"display": "Part-time or temporary work"
} ],
"text": "Part-time or temporary work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:cb24d31a-dc10-e693-5ae2-18d2be0fd84f",
"resource": {
"resourceType": "Observation",
"id": "cb24d31a-dc10-e693-5ae2-18d2be0fd84f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T01:49:54+01:00",
"issued": "2019-12-02T01:49:54.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d5c33d1f-582e-2ec8-bde8-803c9c319213",
"resource": {
"resourceType": "Procedure",
"id": "d5c33d1f-582e-2ec8-bde8-803c9c319213",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"performedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:65cd8d73-eb8b-1a6a-9ad4-d7533ea59646",
"resource": {
"resourceType": "Procedure",
"id": "65cd8d73-eb8b-1a6a-9ad4-d7533ea59646",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"performedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:dca736a6-1483-7554-0105-3d65608028fb",
"resource": {
"resourceType": "Procedure",
"id": "dca736a6-1483-7554-0105-3d65608028fb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"performedPeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2019-12-02T01:23:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:3b662d6a-db3d-7de9-442f-3166a8146193",
"resource": {
"resourceType": "Procedure",
"id": "3b662d6a-db3d-7de9-442f-3166a8146193",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"performedPeriod": {
"start": "2019-12-02T01:23:18+01:00",
"end": "2019-12-02T01:49:54+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6fea19f8-a0ee-5b11-ddd5-626e1c15b7dd",
"resource": {
"resourceType": "MedicationRequest",
"id": "6fea19f8-a0ee-5b11-ddd5-626e1c15b7dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"authoredOn": "2019-12-02T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:e1c0dc5c-a9cd-6550-98ed-ff14fd132c11",
"resource": {
"resourceType": "Claim",
"id": "e1c0dc5c-a9cd-6550-98ed-ff14fd132c11",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:6fea19f8-a0ee-5b11-ddd5-626e1c15b7dd"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:c7bf6751-ef90-7ad8-19a1-353173746126",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "c7bf6751-ef90-7ad8-19a1-353173746126",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e1c0dc5c-a9cd-6550-98ed-ff14fd132c11"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2020-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:e1c0dc5c-a9cd-6550-98ed-ff14fd132c11"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:d4d56fe6-e890-c015-460d-5f33c75df6b0",
"resource": {
"resourceType": "MedicationRequest",
"id": "d4d56fe6-e890-c015-460d-5f33c75df6b0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"authoredOn": "2019-12-02T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:16b416d1-4d21-8f40-52e0-6995fb161692",
"resource": {
"resourceType": "Claim",
"id": "16b416d1-4d21-8f40-52e0-6995fb161692",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:d4d56fe6-e890-c015-460d-5f33c75df6b0"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f68fd6d0-4f2f-2104-e70c-5399f96b5ac0",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f68fd6d0-4f2f-2104-e70c-5399f96b5ac0",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "16b416d1-4d21-8f40-52e0-6995fb161692"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2020-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:16b416d1-4d21-8f40-52e0-6995fb161692"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7e26ed15-dc09-4d7a-eb6b-e1cb299af532",
"resource": {
"resourceType": "MedicationRequest",
"id": "7e26ed15-dc09-4d7a-eb6b-e1cb299af532",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"authoredOn": "2019-12-02T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:74d93b45-38d6-8879-eec5-a91711b74690",
"resource": {
"resourceType": "Claim",
"id": "74d93b45-38d6-8879-eec5-a91711b74690",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:7e26ed15-dc09-4d7a-eb6b-e1cb299af532"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a6b23139-d245-24e2-2de9-af4961de5a2a",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a6b23139-d245-24e2-2de9-af4961de5a2a",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "74d93b45-38d6-8879-eec5-a91711b74690"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2020-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:74d93b45-38d6-8879-eec5-a91711b74690"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:846c9aad-3dd0-8359-104c-764392683a2f",
"resource": {
"resourceType": "MedicationRequest",
"id": "846c9aad-3dd0-8359-104c-764392683a2f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"authoredOn": "2019-12-02T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:a6c5771c-dd91-6144-123c-d61096f2a572",
"resource": {
"resourceType": "Claim",
"id": "a6c5771c-dd91-6144-123c-d61096f2a572",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:846c9aad-3dd0-8359-104c-764392683a2f"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": {
"value": 0.93,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:db980414-05d3-99b5-0240-f4faf5958ba8",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "db980414-05d3-99b5-0240-f4faf5958ba8",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "a6c5771c-dd91-6144-123c-d61096f2a572"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2020-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:a6c5771c-dd91-6144-123c-d61096f2a572"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.93,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:acb2f442-6e5d-b1ef-4e8a-d23a459b3dd2",
"resource": {
"resourceType": "Immunization",
"id": "acb2f442-6e5d-b1ef-4e8a-d23a459b3dd2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"occurrenceDateTime": "2019-12-02T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:78e2848d-119d-ba19-f33b-ee0c80b2a5ab",
"resource": {
"resourceType": "DiagnosticReport",
"id": "78e2848d-119d-ba19-f33b-ee0c80b2a5ab",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T01:49:54+01:00",
"issued": "2019-12-02T01:49:54.760+01:00",
"result": [ {
"reference": "urn:uuid:cb24d31a-dc10-e693-5ae2-18d2be0fd84f",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:aaeabcd4-dffb-77f3-d6e6-255f06a4676b",
"resource": {
"resourceType": "DiagnosticReport",
"id": "aaeabcd4-dffb-77f3-d6e6-255f06a4676b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
},
"effectiveDateTime": "2019-12-02T00:23:18+01:00",
"issued": "2019-12-02T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:c520ac2e-70d9-fd68-0c9c-6d8e4c1e569e",
"resource": {
"resourceType": "DocumentReference",
"id": "c520ac2e-70d9-fd68-0c9c-6d8e4c1e569e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:aaeabcd4-dffb-77f3-d6e6-255f06a4676b"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2019-12-02T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMTktMTItMDIKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDIzIHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBzdHJlcHRvY29jY2FsIHNvcmUgdGhyb2F0IChkaXNvcmRlciksIGFjdXRlIGJhY3RlcmlhbCBzaW51c2l0aXMgKGRpc29yZGVyKSwgYWN1dGUgYnJvbmNoaXRpcyAoZGlzb3JkZXIpLCByaXNrIGFjdGl2aXR5IGludm9sdmVtZW50IChmaW5kaW5nKSwgbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLCBub3QgaW4gbGFib3IgZm9yY2UgKGZpbmRpbmcpLCB1bmhlYWx0aHkgYWxjb2hvbCBkcmlua2luZyBiZWhhdmlvciAoZmluZGluZyksIGZ1bGwtdGltZSBlbXBsb3ltZW50IChmaW5kaW5nKSwgYWN1dGUgdmlyYWwgcGhhcnluZ2l0aXMgKGRpc29yZGVyKSwgdmljdGltIG9mIGludGltYXRlIHBhcnRuZXIgYWJ1c2UgKGZpbmRpbmcpLCB2aXJhbCBzaW51c2l0aXMgKGRpc29yZGVyKSwgc3RyZXNzIChmaW5kaW5nKS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KIFBhdGllbnQgaWRlbnRpZmllcyBhcyBoZXRlcm9zZXh1YWwuCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgogUGF0aWVudCBoYXMgY29tcGxldGVkIHNvbWUgY29sbGVnZSBjb3Vyc2VzLgpQYXRpZW50IGN1cnJlbnRseSBoYXMgTWVkaWNhaWQuCgojIEFsbGVyZ2llcwpObyBLbm93biBBbGxlcmdpZXMuCgojIE1lZGljYXRpb25zCnBlbmljaWxsaW4gdiBwb3Rhc3NpdW0gMjUwIG1nIG9yYWwgdGFibGV0OyBsaXNpbm9wcmlsIDEwIG1nIG9yYWwgdGFibGV0OyBhY2V0YW1pbm9waGVuIDMyNSBtZyBvcmFsIHRhYmxldDsgYWNldGFtaW5vcGhlbiAzMjUgbWcgLyBveHljb2RvbmUgaHlkcm9jaGxvcmlkZSAxMCBtZyBvcmFsIHRhYmxldCBbcGVyY29jZXRdOyBhbWxvZGlwaW5lIDIuNSBtZyBvcmFsIHRhYmxldDsgdHJhbWFkb2wgaHlkcm9jaGxvcmlkZSA1MCBtZyBvcmFsIHRhYmxldAoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuClBhdGllbnQgaXMgcHJlc2VudGluZyB3aXRoIG1lZGljYXRpb24gcmV2aWV3IGR1ZSAoc2l0dWF0aW9uKSwgcGFydC10aW1lIGVtcGxveW1lbnQgKGZpbmRpbmcpLCBsaW1pdGVkIHNvY2lhbCBjb250YWN0IChmaW5kaW5nKS4gCgojIyBQbGFuClBhdGllbnQgd2FzIGdpdmVuIHRoZSBmb2xsb3dpbmcgaW1tdW5pemF0aW9uczogaW5mbHVlbnphLCBzZWFzb25hbCwgaW5qZWN0YWJsZSwgcHJlc2VydmF0aXZlIGZyZWUuIApUaGUgZm9sbG93aW5nIHByb2NlZHVyZXMgd2VyZSBjb25kdWN0ZWQ6Ci0gbWVkaWNhdGlvbiByZWNvbmNpbGlhdGlvbiAocHJvY2VkdXJlKQotIGFzc2Vzc21lbnQgb2YgaGVhbHRoIGFuZCBzb2NpYWwgY2FyZSBuZWVkcyAocHJvY2VkdXJlKQotIGRlcHJlc3Npb24gc2NyZWVuaW5nIChwcm9jZWR1cmUpCi0gZGVwcmVzc2lvbiBzY3JlZW5pbmcgdXNpbmcgcGF0aWVudCBoZWFsdGggcXVlc3Rpb25uYWlyZSB0d28taXRlbSBzY29yZSAocHJvY2VkdXJlKQpUaGUgcGF0aWVudCB3YXMgcHJlc2NyaWJlZCB0aGUgZm9sbG93aW5nIG1lZGljYXRpb25zOgotIGFjZXRhbWlub3BoZW4gMzI1IG1nIC8gb3h5Y29kb25lIGh5ZHJvY2hsb3JpZGUgMTAgbWcgb3JhbCB0YWJsZXQgW3BlcmNvY2V0XQotIHRyYW1hZG9sIGh5ZHJvY2hsb3JpZGUgNTAgbWcgb3JhbCB0YWJsZXQKLSBsaXNpbm9wcmlsIDEwIG1nIG9yYWwgdGFibGV0Ci0gYW1sb2RpcGluZSAyLjUgbWcgb3JhbCB0YWJsZXQK"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ],
"period": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:c9729dde-ae90-3d56-68e7-993606d9083c",
"resource": {
"resourceType": "Claim",
"id": "c9729dde-ae90-3d56-68e7-993606d9083c",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:acb2f442-6e5d-b1ef-4e8a-d23a459b3dd2"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:816232b1-4dab-943b-558c-a5823ed39c39"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:483e3ebd-5b24-348a-854a-a47c240eb338"
}
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:4406090b-c470-ef88-6b59-d6f81a00c8fe"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:d5c33d1f-582e-2ec8-bde8-803c9c319213"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:65cd8d73-eb8b-1a6a-9ad4-d7533ea59646"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:dca736a6-1483-7554-0105-3d65608028fb"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:3b662d6a-db3d-7de9-442f-3166a8146193"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 410.05,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
}
}, {
"sequence": 7,
"diagnosisSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
}
}, {
"sequence": 8,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1114.25,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a5a6195c-8338-dcbf-64ad-e1291ddca05b",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a5a6195c-8338-dcbf-64ad-e1291ddca05b",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "c9729dde-ae90-3d56-68e7-993606d9083c"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2019-12-02T01:09:46+01:00",
"end": "2020-12-02T01:09:46+01:00"
},
"created": "2019-12-02T01:09:46+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:c9729dde-ae90-3d56-68e7-993606d9083c"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:816232b1-4dab-943b-558c-a5823ed39c39"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:483e3ebd-5b24-348a-854a-a47c240eb338"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:4406090b-c470-ef88-6b59-d6f81a00c8fe"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 410.05,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 82.01,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 328.04,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 410.05,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 410.05,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 7,
"diagnosisSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2019-12-02T00:23:18+01:00",
"end": "2019-12-02T01:09:46+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1114.25,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1531.8639999999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b",
"resource": {
"resourceType": "Encounter",
"id": "20257663-a1de-6830-b94a-440579bd0c4b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "20257663-a1de-6830-b94a-440579bd0c4b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:c51e4666-4257-8873-9b32-ce4526b798bf",
"resource": {
"resourceType": "Condition",
"id": "c51e4666-4257-8873-9b32-ce4526b798bf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"onsetDateTime": "2020-12-07T00:23:18+01:00",
"abatementDateTime": "2021-12-13T00:23:18+01:00",
"recordedDate": "2020-12-07T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:5cf5bc4f-a666-b2a0-6e1e-ff052fc3d062",
"resource": {
"resourceType": "Observation",
"id": "5cf5bc4f-a666-b2a0-6e1e-ff052fc3d062",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1dd977ac-7caa-98b7-c7b3-51f9fb787af2",
"resource": {
"resourceType": "Observation",
"id": "1dd977ac-7caa-98b7-c7b3-51f9fb787af2",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:90b16b42-73c3-0786-9a8a-10f598851ce6",
"resource": {
"resourceType": "Observation",
"id": "90b16b42-73c3-0786-9a8a-10f598851ce6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 94,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:14ccc0ab-1b8f-d5e9-a82a-6a2d5d748e18",
"resource": {
"resourceType": "Observation",
"id": "14ccc0ab-1b8f-d5e9-a82a-6a2d5d748e18",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 28.14,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e478c19e-ab99-2893-e101-464ec1d4f5ad",
"resource": {
"resourceType": "Observation",
"id": "e478c19e-ab99-2893-e101-464ec1d4f5ad",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 73,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 93,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:79dc69a3-5eed-b3d4-9bf9-62f06267e6b6",
"resource": {
"resourceType": "Observation",
"id": "79dc69a3-5eed-b3d4-9bf9-62f06267e6b6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 62,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:939ba18b-eda6-05c5-0d03-41f398830ebf",
"resource": {
"resourceType": "Observation",
"id": "939ba18b-eda6-05c5-0d03-41f398830ebf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueQuantity": {
"value": 13,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a0caf77a-c9de-dea8-ccac-8a0a32b8b5c9",
"resource": {
"resourceType": "Observation",
"id": "a0caf77a-c9de-dea8-ccac-8a0a32b8b5c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:4ae5a092-d464-31e3-cddf-7f99314e2109",
"resource": {
"resourceType": "Observation",
"id": "4ae5a092-d464-31e3-cddf-7f99314e2109",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T01:17:08+01:00",
"issued": "2020-12-07T01:17:08.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30132-7",
"display": "5 or more times a week"
} ],
"text": "5 or more times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30128-5",
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
} ],
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30138-4",
"display": "Part-time or temporary work"
} ],
"text": "Part-time or temporary work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:bb6db17c-a39d-431a-3fe3-c9a154a5fa37",
"resource": {
"resourceType": "Observation",
"id": "bb6db17c-a39d-431a-3fe3-c9a154a5fa37",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T01:59:29+01:00",
"issued": "2020-12-07T01:59:29.760+01:00",
"valueQuantity": {
"value": 1,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b1c55037-52f8-4d94-2386-3d6697e01fc2",
"resource": {
"resourceType": "Procedure",
"id": "b1c55037-52f8-4d94-2386-3d6697e01fc2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"performedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0644c930-799b-a0c9-b35f-816c9e0e12e2",
"resource": {
"resourceType": "Procedure",
"id": "0644c930-799b-a0c9-b35f-816c9e0e12e2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"performedPeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2020-12-07T01:31:13+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:ac263cc8-0939-4222-a5bc-e579bf235168",
"resource": {
"resourceType": "Procedure",
"id": "ac263cc8-0939-4222-a5bc-e579bf235168",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"performedPeriod": {
"start": "2020-12-07T01:31:13+01:00",
"end": "2020-12-07T01:59:29+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:823d06df-e316-3df9-f535-2274c4f835cc",
"resource": {
"resourceType": "MedicationRequest",
"id": "823d06df-e316-3df9-f535-2274c4f835cc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"authoredOn": "2020-12-07T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:2ad7e118-49a7-ee56-5159-efce9c433070",
"resource": {
"resourceType": "Claim",
"id": "2ad7e118-49a7-ee56-5159-efce9c433070",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:823d06df-e316-3df9-f535-2274c4f835cc"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:a1d2bce1-c285-8fac-545e-a32f14676c79",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "a1d2bce1-c285-8fac-545e-a32f14676c79",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2ad7e118-49a7-ee56-5159-efce9c433070"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2021-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:2ad7e118-49a7-ee56-5159-efce9c433070"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b7fd42d7-0958-c34e-ed05-90c4dfb0cf9f",
"resource": {
"resourceType": "MedicationRequest",
"id": "b7fd42d7-0958-c34e-ed05-90c4dfb0cf9f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"authoredOn": "2020-12-07T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:27da3d97-4778-d89c-550a-6ffc17834b9f",
"resource": {
"resourceType": "Claim",
"id": "27da3d97-4778-d89c-550a-6ffc17834b9f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b7fd42d7-0958-c34e-ed05-90c4dfb0cf9f"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0b91e7aa-ee48-b21c-ae8b-7aff66bfe548",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0b91e7aa-ee48-b21c-ae8b-7aff66bfe548",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "27da3d97-4778-d89c-550a-6ffc17834b9f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2021-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:27da3d97-4778-d89c-550a-6ffc17834b9f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:759a8857-0ed1-7b39-901c-10427a3668ea",
"resource": {
"resourceType": "MedicationRequest",
"id": "759a8857-0ed1-7b39-901c-10427a3668ea",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"authoredOn": "2020-12-07T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:0c664aac-d898-98dd-6a56-1fbf3c335d58",
"resource": {
"resourceType": "Claim",
"id": "0c664aac-d898-98dd-6a56-1fbf3c335d58",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:759a8857-0ed1-7b39-901c-10427a3668ea"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:8a61bcdf-e028-57f3-3ced-a32d320a34c0",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "8a61bcdf-e028-57f3-3ced-a32d320a34c0",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "0c664aac-d898-98dd-6a56-1fbf3c335d58"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2021-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:0c664aac-d898-98dd-6a56-1fbf3c335d58"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:12450a68-bafb-637d-42ae-2ab73e4f6eb7",
"resource": {
"resourceType": "MedicationRequest",
"id": "12450a68-bafb-637d-42ae-2ab73e4f6eb7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"authoredOn": "2020-12-07T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:ccc0bfbc-f8dd-a04f-b0d5-3fcce034c543",
"resource": {
"resourceType": "Claim",
"id": "ccc0bfbc-f8dd-a04f-b0d5-3fcce034c543",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:12450a68-bafb-637d-42ae-2ab73e4f6eb7"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": {
"value": 1.14,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d615276b-fa2d-95bc-9fbf-63a793c3e739",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d615276b-fa2d-95bc-9fbf-63a793c3e739",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "ccc0bfbc-f8dd-a04f-b0d5-3fcce034c543"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2021-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:ccc0bfbc-f8dd-a04f-b0d5-3fcce034c543"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.14,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:4f650cc5-55a4-9fa8-7290-f7dd86568d80",
"resource": {
"resourceType": "Immunization",
"id": "4f650cc5-55a4-9fa8-7290-f7dd86568d80",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"occurrenceDateTime": "2020-12-07T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:7516806a-83d9-76f0-c8ee-0288ec0f7dcb",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7516806a-83d9-76f0-c8ee-0288ec0f7dcb",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T01:59:29+01:00",
"issued": "2020-12-07T01:59:29.760+01:00",
"result": [ {
"reference": "urn:uuid:bb6db17c-a39d-431a-3fe3-c9a154a5fa37",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:bfff745f-7f98-317f-ddee-79deeca99654",
"resource": {
"resourceType": "DiagnosticReport",
"id": "bfff745f-7f98-317f-ddee-79deeca99654",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
},
"effectiveDateTime": "2020-12-07T00:23:18+01:00",
"issued": "2020-12-07T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:2cf71a6c-1d7d-df5b-b71d-c35b95a9dac3",
"resource": {
"resourceType": "DocumentReference",
"id": "2cf71a6c-1d7d-df5b-b71d-c35b95a9dac3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:bfff745f-7f98-317f-ddee-79deeca99654"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2020-12-07T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ],
"period": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:c50c5180-4600-cc9b-6795-523c386e037e",
"resource": {
"resourceType": "Claim",
"id": "c50c5180-4600-cc9b-6795-523c386e037e",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:4f650cc5-55a4-9fa8-7290-f7dd86568d80"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c51e4666-4257-8873-9b32-ce4526b798bf"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:b1c55037-52f8-4d94-2386-3d6697e01fc2"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:0644c930-799b-a0c9-b35f-816c9e0e12e2"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:ac263cc8-0939-4222-a5bc-e579bf235168"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 704.20,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:e7ca302c-bcb0-30ff-b47c-bc130a0212dc",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "e7ca302c-bcb0-30ff-b47c-bc130a0212dc",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "c50c5180-4600-cc9b-6795-523c386e037e"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2020-12-07T01:17:08+01:00",
"end": "2021-12-07T01:17:08+01:00"
},
"created": "2020-12-07T01:17:08+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:c50c5180-4600-cc9b-6795-523c386e037e"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c51e4666-4257-8873-9b32-ce4526b798bf"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2020-12-07T00:23:18+01:00",
"end": "2020-12-07T01:17:08+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 704.20,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1203.8239999999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468",
"resource": {
"resourceType": "Encounter",
"id": "10217b06-4c7f-dfbb-faac-2be3296e6468",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "10217b06-4c7f-dfbb-faac-2be3296e6468"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:1ce850ad-95c8-f3f5-ce76-d9658325e345",
"resource": {
"resourceType": "Immunization",
"id": "1ce850ad-95c8-f3f5-ce76-d9658325e345",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
},
"occurrenceDateTime": "2021-06-14T01:23:18+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:0c06a6cf-8639-2993-0ae0-c9993075079e",
"resource": {
"resourceType": "DiagnosticReport",
"id": "0c06a6cf-8639-2993-0ae0-c9993075079e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
},
"effectiveDateTime": "2021-06-14T01:23:18+02:00",
"issued": "2021-06-14T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:02a44e26-f20c-c5bd-e194-a61dc323130e",
"resource": {
"resourceType": "DocumentReference",
"id": "02a44e26-f20c-c5bd-e194-a61dc323130e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:0c06a6cf-8639-2993-0ae0-c9993075079e"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2021-06-14T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
} ],
"period": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:f7a7bcfa-555d-cc4f-055e-c9b2d4021d2a",
"resource": {
"resourceType": "Claim",
"id": "f7a7bcfa-555d-cc4f-055e-c9b2d4021d2a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
},
"created": "2021-06-14T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:1ce850ad-95c8-f3f5-ce76-d9658325e345"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 278.58,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:3d11f0b3-c660-b126-b62b-c64cbff4059e",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "3d11f0b3-c660-b126-b62b-c64cbff4059e",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f7a7bcfa-555d-cc4f-055e-c9b2d4021d2a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-06-14T01:38:18+02:00",
"end": "2022-06-14T01:38:18+02:00"
},
"created": "2021-06-14T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:f7a7bcfa-555d-cc4f-055e-c9b2d4021d2a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
},
"servicedPeriod": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"servicedPeriod": {
"start": "2021-06-14T01:23:18+02:00",
"end": "2021-06-14T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 278.58,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4",
"resource": {
"resourceType": "Encounter",
"id": "c0519729-3793-c31e-bf31-84c27dc1e4b4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "c0519729-3793-c31e-bf31-84c27dc1e4b4"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:dadc03cd-0a97-dcd3-35cb-fcfeb76911bc",
"resource": {
"resourceType": "Immunization",
"id": "dadc03cd-0a97-dcd3-35cb-fcfeb76911bc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
},
"occurrenceDateTime": "2021-07-05T01:23:18+02:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:b34394dd-0150-4c2a-a249-144a12b52148",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b34394dd-0150-4c2a-a249-144a12b52148",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
},
"effectiveDateTime": "2021-07-05T01:23:18+02:00",
"issued": "2021-07-05T01:23:18.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:da4cb24b-f78a-4675-00f5-a1c42385af00",
"resource": {
"resourceType": "DocumentReference",
"id": "da4cb24b-f78a-4675-00f5-a1c42385af00",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b34394dd-0150-4c2a-a249-144a12b52148"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2021-07-05T01:23:18.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
} ],
"period": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:efb2f639-9077-7d35-bc3e-0ec72e682544",
"resource": {
"resourceType": "Claim",
"id": "efb2f639-9077-7d35-bc3e-0ec72e682544",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
},
"created": "2021-07-05T01:38:18+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:dadc03cd-0a97-dcd3-35cb-fcfeb76911bc"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"net": {
"value": 136.00,
"currency": "USD"
}
} ],
"total": {
"value": 278.58,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0fab4f35-9ce8-2fac-f4ea-f0b18335818d",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0fab4f35-9ce8-2fac-f4ea-f0b18335818d",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "efb2f639-9077-7d35-bc3e-0ec72e682544"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-07-05T01:38:18+02:00",
"end": "2022-07-05T01:38:18+02:00"
},
"created": "2021-07-05T01:38:18+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:efb2f639-9077-7d35-bc3e-0ec72e682544"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "33879002",
"display": "Administration of vaccine to produce active immunity (procedure)"
} ],
"text": "Administration of vaccine to produce active immunity (procedure)"
},
"servicedPeriod": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "208",
"display": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
} ],
"text": "SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose"
},
"servicedPeriod": {
"start": "2021-07-05T01:23:18+02:00",
"end": "2021-07-05T01:38:18+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 278.58,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7",
"resource": {
"resourceType": "Encounter",
"id": "c01e10c0-5374-f831-b641-6d028737dba7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "c01e10c0-5374-f831-b641-6d028737dba7"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:c25f4ebe-60b5-0d41-3a7c-e9e0ce9380c3",
"resource": {
"resourceType": "Condition",
"id": "c25f4ebe-60b5-0d41-3a7c-e9e0ce9380c3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"onsetDateTime": "2021-12-13T01:00:15+01:00",
"abatementDateTime": "2022-12-19T00:56:47+01:00",
"recordedDate": "2021-12-13T01:00:15+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:23fcf482-b0c3-8fa1-4ec2-6dcfab84710e",
"resource": {
"resourceType": "Condition",
"id": "23fcf482-b0c3-8fa1-4ec2-6dcfab84710e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "422650009",
"display": "Social isolation (finding)"
} ],
"text": "Social isolation (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"onsetDateTime": "2021-12-13T01:00:15+01:00",
"recordedDate": "2021-12-13T01:00:15+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:2fa33115-019a-45aa-905b-356e2daefad3",
"resource": {
"resourceType": "Observation",
"id": "2fa33115-019a-45aa-905b-356e2daefad3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6335445e-149b-d86e-c515-f47b364c9901",
"resource": {
"resourceType": "Observation",
"id": "6335445e-149b-d86e-c515-f47b364c9901",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:50e52346-a117-b3f9-4afd-6cf1afa30d67",
"resource": {
"resourceType": "Observation",
"id": "50e52346-a117-b3f9-4afd-6cf1afa30d67",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 95.5,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f76e66ef-91bb-bef9-54de-290cb845a3c6",
"resource": {
"resourceType": "Observation",
"id": "f76e66ef-91bb-bef9-54de-290cb845a3c6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 28.57,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1b3a83de-0564-2b3a-2395-56fac0f45914",
"resource": {
"resourceType": "Observation",
"id": "1b3a83de-0564-2b3a-2395-56fac0f45914",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 77,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 87,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e46fe19a-077f-5072-9fba-6dd19b9e3b94",
"resource": {
"resourceType": "Observation",
"id": "e46fe19a-077f-5072-9fba-6dd19b9e3b94",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 73,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3d9e9ed1-bce5-1d2e-6979-3055b047b4b6",
"resource": {
"resourceType": "Observation",
"id": "3d9e9ed1-bce5-1d2e-6979-3055b047b4b6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueQuantity": {
"value": 15,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:a88b38bf-70fd-6a6b-acc5-4297b3348126",
"resource": {
"resourceType": "Observation",
"id": "a88b38bf-70fd-6a6b-acc5-4297b3348126",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:96b181ba-a0ad-6e1c-93b9-a6c4880342ff",
"resource": {
"resourceType": "Observation",
"id": "96b181ba-a0ad-6e1c-93b9-a6c4880342ff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T01:00:15+01:00",
"issued": "2021-12-13T01:00:15.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
} ],
"text": "Not at all"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA27722-0",
"display": "Less than once a week"
} ],
"text": "Less than once a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30122-8",
"display": "I choose not to answer this question"
} ],
"text": "I choose not to answer this question"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30136-8",
"display": "Full-time work"
} ],
"text": "Full-time work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:00a2197a-147d-53cf-dd3c-5aec344310f9",
"resource": {
"resourceType": "Observation",
"id": "00a2197a-147d-53cf-dd3c-5aec344310f9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T01:34:09+01:00",
"issued": "2021-12-13T01:34:09.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e72afdba-f6f8-8965-c596-0a0a44e2b294",
"resource": {
"resourceType": "Procedure",
"id": "e72afdba-f6f8-8965-c596-0a0a44e2b294",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"performedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T00:38:18+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c79d41ad-5714-bacf-7bbd-5da903bb2e75",
"resource": {
"resourceType": "Procedure",
"id": "c79d41ad-5714-bacf-7bbd-5da903bb2e75",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"performedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9dcc2c53-24c9-8bfc-b957-f6dfd54696c7",
"resource": {
"resourceType": "Procedure",
"id": "9dcc2c53-24c9-8bfc-b957-f6dfd54696c7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"performedPeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2021-12-13T01:12:26+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:aaf6c11b-8387-113a-aa78-752f0872d987",
"resource": {
"resourceType": "Procedure",
"id": "aaf6c11b-8387-113a-aa78-752f0872d987",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"performedPeriod": {
"start": "2021-12-13T01:12:26+01:00",
"end": "2021-12-13T01:34:09+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b692ff56-700d-6148-f356-700e4b0a717b",
"resource": {
"resourceType": "MedicationRequest",
"id": "b692ff56-700d-6148-f356-700e4b0a717b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"authoredOn": "2021-12-13T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:b95745e6-a971-2c65-613b-e7527f0e083a",
"resource": {
"resourceType": "Claim",
"id": "b95745e6-a971-2c65-613b-e7527f0e083a",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:b692ff56-700d-6148-f356-700e4b0a717b"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d2fe9412-f890-1704-e25c-631c97c28193",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d2fe9412-f890-1704-e25c-631c97c28193",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "b95745e6-a971-2c65-613b-e7527f0e083a"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2022-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:b95745e6-a971-2c65-613b-e7527f0e083a"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:d2a6831b-a413-7aaf-e0e1-71fd749e4cf2",
"resource": {
"resourceType": "MedicationRequest",
"id": "d2a6831b-a413-7aaf-e0e1-71fd749e4cf2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"authoredOn": "2021-12-13T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:5eaef0c5-029f-b879-4fee-54f632bf5ed5",
"resource": {
"resourceType": "Claim",
"id": "5eaef0c5-029f-b879-4fee-54f632bf5ed5",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:d2a6831b-a413-7aaf-e0e1-71fd749e4cf2"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:9630e1f4-d485-fe8e-406d-1f6c10ac7b58",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "9630e1f4-d485-fe8e-406d-1f6c10ac7b58",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5eaef0c5-029f-b879-4fee-54f632bf5ed5"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2022-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:5eaef0c5-029f-b879-4fee-54f632bf5ed5"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:987866c0-bbd4-1eec-daf0-56bad643d446",
"resource": {
"resourceType": "MedicationRequest",
"id": "987866c0-bbd4-1eec-daf0-56bad643d446",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"authoredOn": "2021-12-13T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:38dda2d3-d09d-c14f-ede8-7d4e2552d3bf",
"resource": {
"resourceType": "Claim",
"id": "38dda2d3-d09d-c14f-ede8-7d4e2552d3bf",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:987866c0-bbd4-1eec-daf0-56bad643d446"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:efc6e97f-1ce2-d63e-db80-cab303302820",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "efc6e97f-1ce2-d63e-db80-cab303302820",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "38dda2d3-d09d-c14f-ede8-7d4e2552d3bf"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2022-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:38dda2d3-d09d-c14f-ede8-7d4e2552d3bf"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7a11376c-61bc-56f4-2ca3-0588469bcee1",
"resource": {
"resourceType": "MedicationRequest",
"id": "7a11376c-61bc-56f4-2ca3-0588469bcee1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"authoredOn": "2021-12-13T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:62416503-cbab-fc38-5aae-25206604d60f",
"resource": {
"resourceType": "Claim",
"id": "62416503-cbab-fc38-5aae-25206604d60f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:7a11376c-61bc-56f4-2ca3-0588469bcee1"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": {
"value": 1.17,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d8b4068f-9ce2-d5f1-14da-8359471f1369",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d8b4068f-9ce2-d5f1-14da-8359471f1369",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "62416503-cbab-fc38-5aae-25206604d60f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2022-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:62416503-cbab-fc38-5aae-25206604d60f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.17,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:71a77dbd-f7b3-0e24-03fd-5c947d7b8184",
"resource": {
"resourceType": "Immunization",
"id": "71a77dbd-f7b3-0e24-03fd-5c947d7b8184",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"occurrenceDateTime": "2021-12-13T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:f987f3f0-3721-a0ef-9ec6-0a0311d2218f",
"resource": {
"resourceType": "DiagnosticReport",
"id": "f987f3f0-3721-a0ef-9ec6-0a0311d2218f",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T01:34:09+01:00",
"issued": "2021-12-13T01:34:09.760+01:00",
"result": [ {
"reference": "urn:uuid:00a2197a-147d-53cf-dd3c-5aec344310f9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:987d49f6-1490-4ea6-9000-09ac9d42b935",
"resource": {
"resourceType": "DiagnosticReport",
"id": "987d49f6-1490-4ea6-9000-09ac9d42b935",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
},
"effectiveDateTime": "2021-12-13T00:23:18+01:00",
"issued": "2021-12-13T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:eab5c7b1-d7c1-5fd9-7e0a-3f6dedbf141f",
"resource": {
"resourceType": "DocumentReference",
"id": "eab5c7b1-d7c1-5fd9-7e0a-3f6dedbf141f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:987d49f6-1490-4ea6-9000-09ac9d42b935"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2021-12-13T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ],
"period": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:f762b717-61c3-64e3-0298-34fa1f18c0f0",
"resource": {
"resourceType": "Claim",
"id": "f762b717-61c3-64e3-0298-34fa1f18c0f0",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:71a77dbd-f7b3-0e24-03fd-5c947d7b8184"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c25f4ebe-60b5-0d41-3a7c-e9e0ce9380c3"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:23fcf482-b0c3-8fa1-4ec2-6dcfab84710e"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:e72afdba-f6f8-8965-c596-0a0a44e2b294"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:c79d41ad-5714-bacf-7bbd-5da903bb2e75"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:9dcc2c53-24c9-8bfc-b957-f6dfd54696c7"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:aaf6c11b-8387-113a-aa78-752f0872d987"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"net": {
"value": 550.18,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
}
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "422650009",
"display": "Social isolation (finding)"
} ],
"text": "Social isolation (finding)"
}
}, {
"sequence": 7,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 1254.38,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:48e49ebc-fcb7-c98b-3069-6e5631ff513a",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "48e49ebc-fcb7-c98b-3069-6e5631ff513a",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "f762b717-61c3-64e3-0298-34fa1f18c0f0"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2021-12-13T01:00:15+01:00",
"end": "2022-12-13T01:00:15+01:00"
},
"created": "2021-12-13T01:00:15+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:f762b717-61c3-64e3-0298-34fa1f18c0f0"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:c25f4ebe-60b5-0d41-3a7c-e9e0ce9380c3"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:23fcf482-b0c3-8fa1-4ec2-6dcfab84710e"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "430193006",
"display": "Medication Reconciliation (procedure)"
} ],
"text": "Medication Reconciliation (procedure)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 550.18,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 110.036,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 440.144,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 550.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 550.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160903007",
"display": "Full-time employment (finding)"
} ],
"text": "Full-time employment (finding)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "422650009",
"display": "Social isolation (finding)"
} ],
"text": "Social isolation (finding)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2021-12-13T00:23:18+01:00",
"end": "2021-12-13T01:00:15+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1254.38,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 1643.968,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6",
"resource": {
"resourceType": "Encounter",
"id": "6e19688f-40ac-b261-6ce0-67a982f719f6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "6e19688f-40ac-b261-6ce0-67a982f719f6"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
}
} ],
"period": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:b5dbab11-9962-0874-5d3e-74a790669d6d",
"resource": {
"resourceType": "Condition",
"id": "b5dbab11-9962-0874-5d3e-74a790669d6d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"onsetDateTime": "2022-12-19T00:23:18+01:00",
"recordedDate": "2022-12-19T00:23:18+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:1a5d1426-b5c4-e9b9-c4d5-fdaa4af43a96",
"resource": {
"resourceType": "Condition",
"id": "1a5d1426-b5c4-e9b9-c4d5-fdaa4af43a96",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"onsetDateTime": "2022-12-19T00:56:47+01:00",
"recordedDate": "2022-12-19T00:56:47+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:e6ce0bf3-c250-cbb3-0aae-0ec8829b3358",
"resource": {
"resourceType": "Condition",
"id": "e6ce0bf3-c250-cbb3-0aae-0ec8829b3358",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"onsetDateTime": "2022-12-19T00:56:47+01:00",
"recordedDate": "2022-12-19T00:56:47+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:0ecf8075-abb1-d8fc-fc62-dbcd4f3e02c7",
"resource": {
"resourceType": "Condition",
"id": "0ecf8075-abb1-d8fc-fc62-dbcd4f3e02c7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"onsetDateTime": "2022-12-19T00:56:47+01:00",
"recordedDate": "2022-12-19T00:56:47+01:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:a9876e5e-e444-3ea3-4004-5ba9fd68910d",
"resource": {
"resourceType": "Observation",
"id": "a9876e5e-e444-3ea3-4004-5ba9fd68910d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body Height"
} ],
"text": "Body Height"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 182.8,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:84959be5-83ef-35fb-eba9-2f4e5b2669a3",
"resource": {
"resourceType": "Observation",
"id": "84959be5-83ef-35fb-eba9-2f4e5b2669a3",
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72514-3",
"display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
} ],
"text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 4,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:b91458ac-1c73-a7fd-d676-e6f10d07a472",
"resource": {
"resourceType": "Observation",
"id": "b91458ac-1c73-a7fd-d676-e6f10d07a472",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body Weight"
} ],
"text": "Body Weight"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 96.8,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:900f407b-4feb-8587-32cd-cd50fe44250f",
"resource": {
"resourceType": "Observation",
"id": "900f407b-4feb-8587-32cd-cd50fe44250f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "39156-5",
"display": "Body mass index (BMI) [Ratio]"
} ],
"text": "Body mass index (BMI) [Ratio]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 28.96,
"unit": "kg/m2",
"system": "http://unitsofmeasure.org",
"code": "kg/m2"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3a719e40-8094-593e-6a29-9a3bd9bded12",
"resource": {
"resourceType": "Observation",
"id": "3a719e40-8094-593e-6a29-9a3bd9bded12",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
} ],
"text": "Blood pressure panel with all children optional"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic Blood Pressure"
} ],
"text": "Diastolic Blood Pressure"
},
"valueQuantity": {
"value": 73,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
} ],
"text": "Systolic Blood Pressure"
},
"valueQuantity": {
"value": 105,
"unit": "mm[Hg]",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:6ea53d87-c53a-b63c-1464-b209bfd391fb",
"resource": {
"resourceType": "Observation",
"id": "6ea53d87-c53a-b63c-1464-b209bfd391fb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
} ],
"text": "Heart rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 84,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f2a175dc-5dd5-2d12-ad01-f54f28499e3f",
"resource": {
"resourceType": "Observation",
"id": "f2a175dc-5dd5-2d12-ad01-f54f28499e3f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital signs"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "9279-1",
"display": "Respiratory rate"
} ],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 14,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:5e9b2cae-2da6-ee6d-6047-ccb9aefb0b90",
"resource": {
"resourceType": "Observation",
"id": "5e9b2cae-2da6-ee6d-6047-ccb9aefb0b90",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "6690-2",
"display": "Leukocytes [#/volume] in Blood by Automated count"
} ],
"text": "Leukocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 6.4273,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:f6a8239c-d7a6-ff7c-d900-f65a2a1d8c7d",
"resource": {
"resourceType": "Observation",
"id": "f6a8239c-d7a6-ff7c-d900-f65a2a1d8c7d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "789-8",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
} ],
"text": "Erythrocytes [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 5.1997,
"unit": "10*6/uL",
"system": "http://unitsofmeasure.org",
"code": "10*6/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:51c589c6-fa58-c5d2-baa5-95b80352d682",
"resource": {
"resourceType": "Observation",
"id": "51c589c6-fa58-c5d2-baa5-95b80352d682",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "718-7",
"display": "Hemoglobin [Mass/volume] in Blood"
} ],
"text": "Hemoglobin [Mass/volume] in Blood"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 13.761,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:1572694a-1d9b-a4b8-ceb9-fc7221364468",
"resource": {
"resourceType": "Observation",
"id": "1572694a-1d9b-a4b8-ceb9-fc7221364468",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "4544-3",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
} ],
"text": "Hematocrit [Volume Fraction] of Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 43.416,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d43f8f7b-137f-9d20-770b-46ba16260277",
"resource": {
"resourceType": "Observation",
"id": "d43f8f7b-137f-9d20-770b-46ba16260277",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "787-2",
"display": "MCV [Entitic volume] by Automated count"
} ],
"text": "MCV [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 91.702,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3a1f3241-3461-80f4-cfd3-aac3e0892425",
"resource": {
"resourceType": "Observation",
"id": "3a1f3241-3461-80f4-cfd3-aac3e0892425",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "785-6",
"display": "MCH [Entitic mass] by Automated count"
} ],
"text": "MCH [Entitic mass] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 27.818,
"unit": "pg",
"system": "http://unitsofmeasure.org",
"code": "pg"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:14d671a2-b825-86f7-463c-2be6f6b0ff42",
"resource": {
"resourceType": "Observation",
"id": "14d671a2-b825-86f7-463c-2be6f6b0ff42",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "786-4",
"display": "MCHC [Mass/volume] by Automated count"
} ],
"text": "MCHC [Mass/volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 33.872,
"unit": "g/dL",
"system": "http://unitsofmeasure.org",
"code": "g/dL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:be219be6-e355-62a9-55a9-9b99f59408d0",
"resource": {
"resourceType": "Observation",
"id": "be219be6-e355-62a9-55a9-9b99f59408d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "21000-5",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
} ],
"text": "Erythrocyte distribution width [Entitic volume] by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 43.646,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:eed6a7cc-4d3c-a7f1-954b-41999b2b4e09",
"resource": {
"resourceType": "Observation",
"id": "eed6a7cc-4d3c-a7f1-954b-41999b2b4e09",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "777-3",
"display": "Platelets [#/volume] in Blood by Automated count"
} ],
"text": "Platelets [#/volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 299.01,
"unit": "10*3/uL",
"system": "http://unitsofmeasure.org",
"code": "10*3/uL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:ea297bcd-69d0-c483-0068-79d6bc899043",
"resource": {
"resourceType": "Observation",
"id": "ea297bcd-69d0-c483-0068-79d6bc899043",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32207-3",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet distribution width [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 419.76,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3daea26e-440a-492c-5ceb-e1fcf5eb94af",
"resource": {
"resourceType": "Observation",
"id": "3daea26e-440a-492c-5ceb-e1fcf5eb94af",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32623-1",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ],
"text": "Platelet mean volume [Entitic volume] in Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueQuantity": {
"value": 9.7135,
"unit": "fL",
"system": "http://unitsofmeasure.org",
"code": "fL"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:e343a1b4-36df-7125-b77f-a0cf14ddc719",
"resource": {
"resourceType": "Observation",
"id": "e343a1b4-36df-7125-b77f-a0cf14ddc719",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history",
"display": "Social history"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72166-2",
"display": "Tobacco smoking status"
} ],
"text": "Tobacco smoking status"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"valueCodeableConcept": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "266919005",
"display": "Never smoked tobacco (finding)"
} ],
"text": "Never smoked tobacco (finding)"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:0943d8a6-76bb-da05-c29a-a0482cf0720a",
"resource": {
"resourceType": "Observation",
"id": "0943d8a6-76bb-da05-c29a-a0482cf0720a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93025-5",
"display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
} ],
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:56:47+01:00",
"issued": "2022-12-19T00:56:47.760+01:00",
"component": [ {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76501-6",
"display": "Within the last year, have you been afraid of your partner or ex-partner?"
} ],
"text": "Within the last year, have you been afraid of your partner or ex-partner?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93026-3",
"display": "Do you feel physically and emotionally safe where you currently live?"
} ],
"text": "Do you feel physically and emotionally safe where you currently live?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93027-1",
"display": "Are you a refugee?"
} ],
"text": "Are you a refugee?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93028-9",
"display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
} ],
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93038-8",
"display": "Stress level"
} ],
"text": "Stress level"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Somewhat"
} ],
"text": "Somewhat"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93029-7",
"display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
} ],
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30130-1",
"display": "1 or 2 times a week"
} ],
"text": "1 or 2 times a week"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93030-5",
"display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
} ],
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93031-3",
"display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
} ],
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30128-5",
"display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
} ],
"text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63586-2",
"display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
} ],
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
},
"valueQuantity": {
"value": 18373,
"unit": "/a",
"system": "http://unitsofmeasure.org",
"code": "/a"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76437-3",
"display": "Primary insurance"
} ],
"text": "Primary insurance"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
} ],
"text": "Medicaid"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "67875-5",
"display": "Employment status - current"
} ],
"text": "Employment status - current"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30138-4",
"display": "Part-time or temporary work"
} ],
"text": "Part-time or temporary work"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "82589-3",
"display": "Highest level of education"
} ],
"text": "Highest level of education"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30193-9",
"display": "More than high school"
} ],
"text": "More than high school"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56799-0",
"display": "Address"
} ],
"text": "Address"
},
"valueString": "815 Hodkiewicz Well Apt 2"
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93033-9",
"display": "Are you worried about losing your housing?"
} ],
"text": "Are you worried about losing your housing?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "71802-3",
"display": "Housing status"
} ],
"text": "Housing status"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA30189-7",
"display": "I have housing"
} ],
"text": "I have housing"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "63512-8",
"display": "How many people are living or staying at this address?"
} ],
"text": "How many people are living or staying at this address?"
},
"valueQuantity": {
"value": 8,
"unit": "{#}",
"system": "http://unitsofmeasure.org",
"code": "{#}"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "54899-0",
"display": "Preferred language"
} ],
"text": "Preferred language"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
} ],
"text": "English"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93034-7",
"display": "Have you been discharged from the armed forces of the United States?"
} ],
"text": "Have you been discharged from the armed forces of the United States?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "93035-4",
"display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
} ],
"text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
} ],
"text": "Yes"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "32624-9",
"display": "Race"
} ],
"text": "Race"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
} ],
"text": "White"
}
}, {
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "56051-6",
"display": "Do you consider yourself Hispanic/Latino?"
} ],
"text": "Do you consider yourself Hispanic/Latino?"
},
"valueCodeableConcept": {
"coding": [ {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
} ],
"text": "No"
}
} ]
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:005ba686-c200-5759-f985-cbf1668c1c99",
"resource": {
"resourceType": "Observation",
"id": "005ba686-c200-5759-f985-cbf1668c1c99",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76504-0",
"display": "Total score [HARK]"
} ],
"text": "Total score [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T01:22:49+01:00",
"issued": "2022-12-19T01:22:49.760+01:00",
"valueQuantity": {
"value": 0,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:3c7c958d-b78b-9097-0eab-74da970e6bdb",
"resource": {
"resourceType": "Observation",
"id": "3c7c958d-b78b-9097-0eab-74da970e6bdb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55758-7",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T01:57:08+01:00",
"issued": "2022-12-19T01:57:08.760+01:00",
"valueQuantity": {
"value": 2,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:20f5136e-b8c8-21e1-6db0-8769e653a80b",
"resource": {
"resourceType": "Observation",
"id": "20f5136e-b8c8-21e1-6db0-8769e653a80b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "75626-2",
"display": "Total score [AUDIT-C]"
} ],
"text": "Total score [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T02:30:37+01:00",
"issued": "2022-12-19T02:30:37.760+01:00",
"valueQuantity": {
"value": 3,
"unit": "{score}",
"system": "http://unitsofmeasure.org",
"code": "{score}"
}
},
"request": {
"method": "POST",
"url": "Observation"
}
}, {
"fullUrl": "urn:uuid:d7743b6b-e257-2515-7711-bfe730b71582",
"resource": {
"resourceType": "Procedure",
"id": "d7743b6b-e257-2515-7711-bfe730b71582",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8737cf7a-d8bc-768b-ab31-282b73e7b7fd",
"resource": {
"resourceType": "Procedure",
"id": "8737cf7a-d8bc-768b-ab31-282b73e7b7fd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2022-12-19T01:22:49+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:3b4d1589-61b2-3a87-dd6e-c327a02d61de",
"resource": {
"resourceType": "Procedure",
"id": "3b4d1589-61b2-3a87-dd6e-c327a02d61de",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T01:22:49+01:00",
"end": "2022-12-19T01:33:49+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:026e28f5-5e57-9f10-c71f-241cc22b22ae",
"resource": {
"resourceType": "Procedure",
"id": "026e28f5-5e57-9f10-c71f-241cc22b22ae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T01:33:49+01:00",
"end": "2022-12-19T01:57:08+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:78c164f4-4f55-c7d9-f765-320857fa2734",
"resource": {
"resourceType": "Procedure",
"id": "78c164f4-4f55-c7d9-f765-320857fa2734",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T01:57:08+01:00",
"end": "2022-12-19T02:09:11+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0eef2291-4bf8-6a55-3eb8-dea6fa2e5dc6",
"resource": {
"resourceType": "Procedure",
"id": "0eef2291-4bf8-6a55-3eb8-dea6fa2e5dc6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"performedPeriod": {
"start": "2022-12-19T02:09:11+01:00",
"end": "2022-12-19T02:30:37+01:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d30722e1-2b28-1c44-55e5-e413b086ca01",
"resource": {
"resourceType": "MedicationRequest",
"id": "d30722e1-2b28-1c44-55e5-e413b086ca01",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"authoredOn": "2022-12-19T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Every six hours (qualifier value)",
"additionalInstruction": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "307468000",
"display": "Every six hours (qualifier value)"
} ],
"text": "Every six hours (qualifier value)"
} ],
"timing": {
"repeat": {
"frequency": 4,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:94533205-8dd3-95fe-0044-6e5bb59a3f29",
"resource": {
"resourceType": "Claim",
"id": "94533205-8dd3-95fe-0044-6e5bb59a3f29",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:d30722e1-2b28-1c44-55e5-e413b086ca01"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b8dbd616-f602-cc44-8576-79daeb50ebfc",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b8dbd616-f602-cc44-8576-79daeb50ebfc",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "94533205-8dd3-95fe-0044-6e5bb59a3f29"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2023-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:94533205-8dd3-95fe-0044-6e5bb59a3f29"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "1049625",
"display": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
} ],
"text": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:95c84e9d-c2fa-b9a3-6cb3-3e52f2a86cc6",
"resource": {
"resourceType": "MedicationRequest",
"id": "95c84e9d-c2fa-b9a3-6cb3-3e52f2a86cc6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"authoredOn": "2022-12-19T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:e254d508-ecc2-a7a3-f38d-673fd8457a6f",
"resource": {
"resourceType": "Claim",
"id": "e254d508-ecc2-a7a3-f38d-673fd8457a6f",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:95c84e9d-c2fa-b9a3-6cb3-3e52f2a86cc6"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": {
"value": 129.94,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:0c5a7bfc-a290-8c7a-4baf-5df81f5a36b6",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "0c5a7bfc-a290-8c7a-4baf-5df81f5a36b6",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e254d508-ecc2-a7a3-f38d-673fd8457a6f"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2023-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:e254d508-ecc2-a7a3-f38d-673fd8457a6f"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "835603",
"display": "tramadol hydrochloride 50 MG Oral Tablet"
} ],
"text": "tramadol hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 129.94,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:ec3be498-3d4d-0d7e-c2c7-72acfef622b8",
"resource": {
"resourceType": "MedicationRequest",
"id": "ec3be498-3d4d-0d7e-c2c7-72acfef622b8",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"authoredOn": "2022-12-19T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:cb48d384-29bd-bcae-6f11-777e31df7eb7",
"resource": {
"resourceType": "Claim",
"id": "cb48d384-29bd-bcae-6f11-777e31df7eb7",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:ec3be498-3d4d-0d7e-c2c7-72acfef622b8"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": {
"value": 0.91,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:d662ceb6-0119-6f7c-cff6-232e7fc33373",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "d662ceb6-0119-6f7c-cff6-232e7fc33373",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "cb48d384-29bd-bcae-6f11-777e31df7eb7"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2023-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:cb48d384-29bd-bcae-6f11-777e31df7eb7"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "314076",
"display": "lisinopril 10 MG Oral Tablet"
} ],
"text": "lisinopril 10 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 0.91,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:811b0e43-b7a9-85c3-cc80-7554591425d0",
"resource": {
"resourceType": "MedicationRequest",
"id": "811b0e43-b7a9-85c3-cc80-7554591425d0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"authoredOn": "2022-12-19T00:23:18+01:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
},
"reasonReference": [ {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89",
"display": "Essential hypertension (disorder)"
} ],
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 1.0,
"periodUnit": "d"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:1931b6d3-48a3-457f-8605-104253c7ac05",
"resource": {
"resourceType": "Claim",
"id": "1931b6d3-48a3-457f-8605-104253c7ac05",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:811b0e43-b7a9-85c3-cc80-7554591425d0"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": {
"value": 1.18,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:69a78558-83a6-dbae-b7c7-3d251e4a9fa3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "69a78558-83a6-dbae-b7c7-3d251e4a9fa3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "1931b6d3-48a3-457f-8605-104253c7ac05"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2023-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:1931b6d3-48a3-457f-8605-104253c7ac05"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "308136",
"display": "amLODIPine 2.5 MG Oral Tablet"
} ],
"text": "amLODIPine 2.5 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 1.18,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:0a073270-c575-7334-3c58-62dd1b9845fb",
"resource": {
"resourceType": "Immunization",
"id": "0a073270-c575-7334-3c58-62dd1b9845fb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
},
"status": "completed",
"vaccineCode": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"occurrenceDateTime": "2022-12-19T00:23:18+01:00",
"primarySource": true,
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
}
},
"request": {
"method": "POST",
"url": "Immunization"
}
}, {
"fullUrl": "urn:uuid:5a2f19f9-8b18-cc7f-05bb-cb02d4542b93",
"resource": {
"resourceType": "DiagnosticReport",
"id": "5a2f19f9-8b18-cc7f-05bb-cb02d4542b93",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"performer": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
} ],
"result": [ {
"reference": "urn:uuid:5e9b2cae-2da6-ee6d-6047-ccb9aefb0b90",
"display": "Leukocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:f6a8239c-d7a6-ff7c-d900-f65a2a1d8c7d",
"display": "Erythrocytes [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:51c589c6-fa58-c5d2-baa5-95b80352d682",
"display": "Hemoglobin [Mass/volume] in Blood"
}, {
"reference": "urn:uuid:1572694a-1d9b-a4b8-ceb9-fc7221364468",
"display": "Hematocrit [Volume Fraction] of Blood by Automated count"
}, {
"reference": "urn:uuid:d43f8f7b-137f-9d20-770b-46ba16260277",
"display": "MCV [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:3a1f3241-3461-80f4-cfd3-aac3e0892425",
"display": "MCH [Entitic mass] by Automated count"
}, {
"reference": "urn:uuid:14d671a2-b825-86f7-463c-2be6f6b0ff42",
"display": "MCHC [Mass/volume] by Automated count"
}, {
"reference": "urn:uuid:be219be6-e355-62a9-55a9-9b99f59408d0",
"display": "Erythrocyte distribution width [Entitic volume] by Automated count"
}, {
"reference": "urn:uuid:eed6a7cc-4d3c-a7f1-954b-41999b2b4e09",
"display": "Platelets [#/volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:ea297bcd-69d0-c483-0068-79d6bc899043",
"display": "Platelet distribution width [Entitic volume] in Blood by Automated count"
}, {
"reference": "urn:uuid:3daea26e-440a-492c-5ceb-e1fcf5eb94af",
"display": "Platelet mean volume [Entitic volume] in Blood by Automated count"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:7a41761c-51c1-c84e-0d37-6b8d1a9bc2c2",
"resource": {
"resourceType": "DiagnosticReport",
"id": "7a41761c-51c1-c84e-0d37-6b8d1a9bc2c2",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T01:22:49+01:00",
"issued": "2022-12-19T01:22:49.760+01:00",
"result": [ {
"reference": "urn:uuid:005ba686-c200-5759-f985-cbf1668c1c99",
"display": "Total score [HARK]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:deb1d38c-3447-2273-fce1-a0ee9b5283c8",
"resource": {
"resourceType": "DiagnosticReport",
"id": "deb1d38c-3447-2273-fce1-a0ee9b5283c8",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T01:57:08+01:00",
"issued": "2022-12-19T01:57:08.760+01:00",
"result": [ {
"reference": "urn:uuid:3c7c958d-b78b-9097-0eab-74da970e6bdb",
"display": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:68b82be2-3985-d906-5f0f-e45765ab48d6",
"resource": {
"resourceType": "DiagnosticReport",
"id": "68b82be2-3985-d906-5f0f-e45765ab48d6",
"status": "final",
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T02:30:37+01:00",
"issued": "2022-12-19T02:30:37.760+01:00",
"result": [ {
"reference": "urn:uuid:20f5136e-b8c8-21e1-6db0-8769e653a80b",
"display": "Total score [AUDIT-C]"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:6e9084ca-5a40-cae4-f742-ef5951c38a9a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "6e9084ca-5a40-cae4-f742-ef5951c38a9a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
},
"effectiveDateTime": "2022-12-19T00:23:18+01:00",
"issued": "2022-12-19T00:23:18.760+01:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:f3c8d2aa-6a83-e127-09c6-86effdd858e4",
"resource": {
"resourceType": "DocumentReference",
"id": "f3c8d2aa-6a83-e127-09c6-86effdd858e4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:6e9084ca-5a40-cae4-f742-ef5951c38a9a"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2022-12-19T00:23:18.760+01:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694",
"display": "Dr. Ronald408 Huels583"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ],
"period": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:e2ce84a8-2a95-78b9-bf3d-b0d41bd3f701",
"resource": {
"resourceType": "Claim",
"id": "e2ce84a8-2a95-78b9-bf3d-b0d41bd3f701",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|cabc0f0d-dcca-34a2-bc6b-519ed1cc7f74",
"display": "ACHIEVE WELLNESS, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
},
"valueReference": {
"reference": "urn:uuid:0a073270-c575-7334-3c58-62dd1b9845fb"
}
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:b5dbab11-9962-0874-5d3e-74a790669d6d"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:1a5d1426-b5c4-e9b9-c4d5-fdaa4af43a96"
}
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:e6ce0bf3-c250-cbb3-0aae-0ec8829b3358"
}
}, {
"sequence": 4,
"diagnosisReference": {
"reference": "urn:uuid:0ecf8075-abb1-d8fc-fc62-dbcd4f3e02c7"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:d7743b6b-e257-2515-7711-bfe730b71582"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:8737cf7a-d8bc-768b-ab31-282b73e7b7fd"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:3b4d1589-61b2-3a87-dd6e-c327a02d61de"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:026e28f5-5e57-9f10-c71f-241cc22b22ae"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:78c164f4-4f55-c7d9-f765-320857fa2734"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:0eef2291-4bf8-6a55-3eb8-dea6fa2e5dc6"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"net": {
"value": 136.00,
"currency": "USD"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
}
}, {
"sequence": 4,
"informationSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 5,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
}
}, {
"sequence": 7,
"diagnosisSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
}
}, {
"sequence": 8,
"diagnosisSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
}
}, {
"sequence": 9,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"informationSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 13,
"informationSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
}, {
"sequence": 14,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 15,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 16,
"informationSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"net": {
"value": 74.58,
"currency": "USD"
}
} ],
"total": {
"value": 778.78,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:2ffc0cba-42d0-b861-6f50-eeb5bf9a629d",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "2ffc0cba-42d0-b861-6f50-eeb5bf9a629d",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e2ce84a8-2a95-78b9-bf3d-b0d41bd3f701"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2022-12-19T00:56:47+01:00",
"end": "2023-12-19T00:56:47+01:00"
},
"created": "2022-12-19T00:56:47+01:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|bee0c1f0-ab71-3dd4-8431-e5d8a345aeea",
"display": "ACHIEVE WELLNESS, LLC"
},
"claim": {
"reference": "urn:uuid:e2ce84a8-2a95-78b9-bf3d-b0d41bd3f701"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999944694"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:b5dbab11-9962-0874-5d3e-74a790669d6d"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:1a5d1426-b5c4-e9b9-c4d5-fdaa4af43a96"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 3,
"diagnosisReference": {
"reference": "urn:uuid:e6ce0bf3-c250-cbb3-0aae-0ec8829b3358"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 4,
"diagnosisReference": {
"reference": "urn:uuid:0ecf8075-abb1-d8fc-fc62-dbcd4f3e02c7"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "162673000",
"display": "General examination of patient (procedure)"
} ],
"text": "General examination of patient (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
} ]
}, {
"sequence": 2,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://hl7.org/fhir/sid/cvx",
"code": "140",
"display": "Influenza, seasonal, injectable, preservative free"
} ],
"text": "Influenza, seasonal, injectable, preservative free"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 136.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 27.200000000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 108.80000000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 136.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "314529007",
"display": "Medication review due (situation)"
} ],
"text": "Medication review due (situation)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 4,
"informationSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "58410-2",
"display": "CBC panel - Blood by Automated count"
} ],
"text": "CBC panel - Blood by Automated count"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "710824005",
"display": "Assessment of health and social care needs (procedure)"
} ],
"text": "Assessment of health and social care needs (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "160904001",
"display": "Part-time employment (finding)"
} ],
"text": "Part-time employment (finding)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 7,
"diagnosisSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "423315002",
"display": "Limited social contact (finding)"
} ],
"text": "Limited social contact (finding)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 8,
"diagnosisSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "73595000",
"display": "Stress (finding)"
} ],
"text": "Stress (finding)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
}
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "866148006",
"display": "Screening for domestic abuse (procedure)"
} ],
"text": "Screening for domestic abuse (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"informationSequence": [ 3 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "76499-3",
"display": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
} ],
"text": "Humiliation, Afraid, Rape, and Kick questionnaire [HARK]"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "171207006",
"display": "Depression screening (procedure)"
} ],
"text": "Depression screening (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "454711000124102",
"display": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
} ],
"text": "Depression screening using Patient Health Questionnaire Two-Item score (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"informationSequence": [ 4 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "55757-9",
"display": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
} ],
"text": "Patient Health Questionnaire 2 item (PHQ-2) [Reported]"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 14,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "428211000124100",
"display": "Assessment of substance use (procedure)"
} ],
"text": "Assessment of substance use (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 15,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "763302001",
"display": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
} ],
"text": "Assessment using Alcohol Use Disorders Identification Test - Consumption (procedure)"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 16,
"informationSequence": [ 5 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://loinc.org",
"code": "72109-2",
"display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
} ],
"text": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
},
"servicedPeriod": {
"start": "2022-12-19T00:23:18+01:00",
"end": "2022-12-19T00:56:47+01:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "19",
"display": "Off Campus-Outpatient Hospital"
} ]
},
"net": {
"value": 74.58,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 14.916,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 59.664,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 74.58,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 778.78,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 2418.1760000000004,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b",
"resource": {
"resourceType": "Encounter",
"id": "a391858f-6c7e-3a75-7be3-2820f27a4d1b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093",
"display": "Dr. Genevie117 Gibson10"
}
} ],
"period": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "125601008",
"display": "Injury of knee (disorder)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:2c97beaf-4cb4-9478-72d6-4ed1ea580cb5",
"resource": {
"resourceType": "Condition",
"id": "2c97beaf-4cb4-9478-72d6-4ed1ea580cb5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "125601008",
"display": "Injury of knee (disorder)"
} ],
"text": "Injury of knee (disorder)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"onsetDateTime": "2023-06-27T01:52:59+02:00",
"recordedDate": "2023-06-27T01:52:59+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336",
"resource": {
"resourceType": "Condition",
"id": "0d62102e-3d47-e3e4-217f-8e6991101336",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "30832001",
"display": "Rupture of patellar tendon"
} ],
"text": "Rupture of patellar tendon"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"onsetDateTime": "2023-06-27T01:52:59+02:00",
"recordedDate": "2023-06-27T01:52:59+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:06e0d9df-bfcc-82a5-e9e4-12784bde8fa0",
"resource": {
"resourceType": "Procedure",
"id": "06e0d9df-bfcc-82a5-e9e4-12784bde8fa0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74016001",
"display": "Knee X-ray"
} ],
"text": "Knee X-ray"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"performedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:22:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:bb1a94e8-fb40-4a7b-5522-54ccb6187a60",
"resource": {
"resourceType": "MedicationRequest",
"id": "bb1a94e8-fb40-4a7b-5522-54ccb6187a60",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"authoredOn": "2023-06-27T01:52:59+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093",
"display": "Dr. Genevie117 Gibson10"
},
"dosageInstruction": [ {
"sequence": 1,
"text": "Take as needed.",
"asNeededBoolean": true
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:e920b063-cf6b-3b25-67c4-6c9fdd9ea2b2",
"resource": {
"resourceType": "Claim",
"id": "e920b063-cf6b-3b25-67c4-6c9fdd9ea2b2",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"created": "2023-06-27T02:52:59+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:bb1a94e8-fb40-4a7b-5522-54ccb6187a60"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ]
} ],
"total": {
"value": 132.68,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:fa73a0aa-c0e7-7a3a-46aa-66a10e395c3d",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "fa73a0aa-c0e7-7a3a-46aa-66a10e395c3d",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "e920b063-cf6b-3b25-67c4-6c9fdd9ea2b2"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-06-27T02:52:59+02:00",
"end": "2024-06-27T02:52:59+02:00"
},
"created": "2023-06-27T02:52:59+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"claim": {
"reference": "urn:uuid:e920b063-cf6b-3b25-67c4-6c9fdd9ea2b2"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "313782",
"display": "Acetaminophen 325 MG Oral Tablet"
} ],
"text": "Acetaminophen 325 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 132.68,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:cd311841-772c-1c7d-2c95-ed5f9750dfea",
"resource": {
"resourceType": "CareTeam",
"id": "cd311841-772c-1c7d-2c95-ed5f9750dfea",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam" ]
},
"status": "active",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"period": {
"start": "2023-06-27T01:52:59+02:00"
},
"participant": [ {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "116154003",
"display": "Patient"
} ],
"text": "Patient"
} ],
"member": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "223366009",
"display": "Healthcare professional (occupation)"
} ],
"text": "Healthcare professional (occupation)"
} ],
"member": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093",
"display": "Dr. Genevie117 Gibson10"
}
}, {
"role": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "224891009",
"display": "Healthcare services (qualifier value)"
} ],
"text": "Healthcare services (qualifier value)"
} ],
"member": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
} ],
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "30832001",
"display": "Rupture of patellar tendon"
} ],
"text": "Rupture of patellar tendon"
} ],
"managingOrganization": [ {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
} ]
},
"request": {
"method": "POST",
"url": "CareTeam"
}
}, {
"fullUrl": "urn:uuid:1b76a812-cdc7-afa3-d4ea-e56aec0c4abc",
"resource": {
"resourceType": "CarePlan",
"id": "1b76a812-cdc7-afa3-d4ea-e56aec0c4abc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan" ]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care Plan for Physiotherapy care plan (record artifact).<br/>Care plan is meant to treat Rupture of patellar tendon.<br/>Activities: <ul><li>Physiotherapy care plan (record artifact)</li><li>Physiotherapy care plan (record artifact)</li></ul></div>"
},
"status": "active",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/careplan-category",
"code": "assess-plan"
} ]
}, {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "773513001",
"display": "Physiotherapy care plan (record artifact)"
} ],
"text": "Physiotherapy care plan (record artifact)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"period": {
"start": "2023-06-27T01:52:59+02:00"
},
"careTeam": [ {
"reference": "urn:uuid:cd311841-772c-1c7d-2c95-ed5f9750dfea"
} ],
"addresses": [ {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
} ],
"activity": [ {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "229586001",
"display": "Rest, ice, compression and elevation treatment program (regime/therapy)"
} ],
"text": "Rest, ice, compression and elevation treatment program (regime/therapy)"
},
"reasonReference": [ {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
} ],
"status": "in-progress",
"location": {
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
}
}, {
"detail": {
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "229070002",
"display": "Stretching exercises"
} ],
"text": "Stretching exercises"
},
"reasonReference": [ {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
} ],
"status": "in-progress",
"location": {
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
}
}
} ]
},
"request": {
"method": "POST",
"url": "CarePlan"
}
}, {
"fullUrl": "urn:uuid:13dd3201-fafc-e913-b802-bf446a264fdb",
"resource": {
"resourceType": "ImagingStudy",
"id": "13dd3201-fafc-e913-b802-bf446a264fdb",
"identifier": [ {
"use": "official",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.840.99999999.26903857.1687823579760"
} ],
"status": "available",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"started": "2023-06-27T01:52:59+02:00",
"numberOfSeries": 1,
"numberOfInstances": 1,
"procedureCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74016001",
"display": "Knee X-ray"
} ],
"text": "Knee X-ray"
} ],
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"series": [ {
"uid": "1.2.840.99999999.1.82470380.1687823579760",
"number": 1,
"modality": {
"system": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html",
"code": "DX",
"display": "Digital Radiography"
},
"numberOfInstances": 1,
"bodySite": {
"system": "http://snomed.info/sct",
"code": "72696002",
"display": "Knee"
},
"started": "2023-06-27T01:52:59+02:00",
"instance": [ {
"uid": "1.2.840.99999999.1.1.59107720.1687823579760",
"sopClass": {
"system": "urn:ietf:rfc:3986",
"code": "urn:oid:1.2.840.10008.5.1.4.1.1.1.1"
},
"number": 1,
"title": "Image of knee"
} ]
} ]
},
"request": {
"method": "POST",
"url": "ImagingStudy"
}
}, {
"fullUrl": "urn:uuid:534f919f-edd1-d0bf-1306-1a425860c842",
"resource": {
"resourceType": "DiagnosticReport",
"id": "534f919f-edd1-d0bf-1306-1a425860c842",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
},
"effectiveDateTime": "2023-06-27T01:52:59+02:00",
"issued": "2023-06-27T01:52:59.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093",
"display": "Dr. Genevie117 Gibson10"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:6c63e80c-2bc1-e4ad-e41f-fe09e0077801",
"resource": {
"resourceType": "DocumentReference",
"id": "6c63e80c-2bc1-e4ad-e41f-fe09e0077801",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:534f919f-edd1-d0bf-1306-1a425860c842"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2023-06-27T01:52:59.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093",
"display": "Dr. Genevie117 Gibson10"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "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"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ],
"period": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:5a4ed60c-2d8b-a2a0-c1e9-500ad5862781",
"resource": {
"resourceType": "Claim",
"id": "5a4ed60c-2d8b-a2a0-c1e9-500ad5862781",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"created": "2023-06-27T02:52:59+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|7dddc0c2-9f1d-3e4e-b2f2-fc7e6abbed31",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:2c97beaf-4cb4-9478-72d6-4ed1ea580cb5"
}
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:06e0d9df-bfcc-82a5-e9e4-12784bde8fa0"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "125601008",
"display": "Injury of knee (disorder)"
} ],
"text": "Injury of knee (disorder)"
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "30832001",
"display": "Rupture of patellar tendon"
} ],
"text": "Rupture of patellar tendon"
}
}, {
"sequence": 4,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74016001",
"display": "Knee X-ray"
} ],
"text": "Knee X-ray"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 577.58,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:f66abce2-20fe-e816-2d30-b32f72e0ea63",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "f66abce2-20fe-e816-2d30-b32f72e0ea63",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "5a4ed60c-2d8b-a2a0-c1e9-500ad5862781"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-06-27T02:52:59+02:00",
"end": "2024-06-27T02:52:59+02:00"
},
"created": "2023-06-27T02:52:59+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|15453d1c-9eb0-3475-9ed1-52e28ba5a04e",
"display": "ALTERNATIVE HOME HEALTH CARE, LLC"
},
"claim": {
"reference": "urn:uuid:5a4ed60c-2d8b-a2a0-c1e9-500ad5862781"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999928093"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:2c97beaf-4cb4-9478-72d6-4ed1ea580cb5"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
}, {
"sequence": 2,
"diagnosisReference": {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "50849002",
"display": "Emergency room admission (procedure)"
} ],
"text": "Emergency room admission (procedure)"
},
"servicedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "125601008",
"display": "Injury of knee (disorder)"
} ],
"text": "Injury of knee (disorder)"
},
"servicedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
}, {
"sequence": 3,
"diagnosisSequence": [ 2 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "30832001",
"display": "Rupture of patellar tendon"
} ],
"text": "Rupture of patellar tendon"
},
"servicedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
}
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "74016001",
"display": "Knee X-ray"
} ],
"text": "Knee X-ray"
},
"servicedPeriod": {
"start": "2023-06-27T01:52:59+02:00",
"end": "2023-06-27T02:52:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "20",
"display": "Urgent Care Facility"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 577.58,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 345.12,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521",
"resource": {
"resourceType": "Encounter",
"id": "a6a476ee-ab78-4dc6-76bc-fb3f8c228521",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "183495009",
"display": "Non-urgent orthopedic admission"
} ],
"text": "Non-urgent orthopedic admission"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
}
} ],
"period": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "30832001",
"display": "Rupture of patellar tendon"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:58f9c595-8362-fd07-a8f1-f1d01ddbd7c6",
"resource": {
"resourceType": "Procedure",
"id": "58f9c595-8362-fd07-a8f1-f1d01ddbd7c6",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "699253003",
"display": "Surgical manipulation of joint of knee"
} ],
"text": "Surgical manipulation of joint of knee"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
},
"performedPeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-04T05:28:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336",
"display": "Rupture of patellar tendon"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:619947a6-74bf-2ba5-138b-515d0e7e6097",
"resource": {
"resourceType": "Procedure",
"id": "619947a6-74bf-2ba5-138b-515d0e7e6097",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "133899007",
"display": "Postoperative care (regime/therapy)"
} ],
"text": "Postoperative care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
},
"performedPeriod": {
"start": "2023-07-04T05:28:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"reasonReference": [ {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336",
"display": "Rupture of patellar tendon"
} ]
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:bd78c69f-f82f-9afd-b9bc-45caaf6603e0",
"resource": {
"resourceType": "MedicationRequest",
"id": "bd78c69f-f82f-9afd-b9bc-45caaf6603e0",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
},
"status": "stopped",
"intent": "order",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code": "community",
"display": "Community"
} ],
"text": "Community"
} ],
"medicationCodeableConcept": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "861467",
"display": "Meperidine Hydrochloride 50 MG Oral Tablet"
} ],
"text": "Meperidine Hydrochloride 50 MG Oral Tablet"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
},
"authoredOn": "2023-07-04T05:28:59+02:00",
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
},
"dosageInstruction": [ {
"sequence": 1,
"timing": {
"repeat": {
"frequency": 1,
"period": 4.0,
"periodUnit": "h"
}
},
"asNeededBoolean": false,
"doseAndRate": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code": "ordered",
"display": "Ordered"
} ]
},
"doseQuantity": {
"value": 1.0
}
} ]
} ]
},
"request": {
"method": "POST",
"url": "MedicationRequest"
}
}, {
"fullUrl": "urn:uuid:43fae71c-e219-ddb0-0559-fbebb345377b",
"resource": {
"resourceType": "Claim",
"id": "43fae71c-e219-ddb0-0559-fbebb345377b",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"created": "2023-07-07T23:28:59+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"prescription": {
"reference": "urn:uuid:bd78c69f-f82f-9afd-b9bc-45caaf6603e0"
},
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "861467",
"display": "Meperidine Hydrochloride 50 MG Oral Tablet"
} ],
"text": "Meperidine Hydrochloride 50 MG Oral Tablet"
},
"encounter": [ {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ]
} ],
"total": {
"value": 75.20,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:937c91a9-7c80-3577-a391-4083fc32a006",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "937c91a9-7c80-3577-a391-4083fc32a006",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "43fae71c-e219-ddb0-0559-fbebb345377b"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "pharmacy"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2024-07-07T23:28:59+02:00"
},
"created": "2023-07-07T23:28:59+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:43fae71c-e219-ddb0-0559-fbebb345377b"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "861467",
"display": "Meperidine Hydrochloride 50 MG Oral Tablet"
} ],
"text": "Meperidine Hydrochloride 50 MG Oral Tablet"
},
"servicedPeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 75.20,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 0.0,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b8e02082-b5e0-3493-e57a-c44096902235",
"resource": {
"resourceType": "DiagnosticReport",
"id": "b8e02082-b5e0-3493-e57a-c44096902235",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
},
"effectiveDateTime": "2023-07-04T01:52:59+02:00",
"issued": "2023-07-04T01:52:59.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "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"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:5e106b50-25dd-00ca-dd7d-7cb4fafaefcf",
"resource": {
"resourceType": "DocumentReference",
"id": "5e106b50-25dd-00ca-dd7d-7cb4fafaefcf",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b8e02082-b5e0-3493-e57a-c44096902235"
} ],
"status": "superseded",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2023-07-04T01:52:59.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491",
"display": "Dr. Rosaria177 Volkman526"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "CjIwMjMtMDctMDQKCiMgQ2hpZWYgQ29tcGxhaW50Ck5vIGNvbXBsYWludHMuCgojIEhpc3Rvcnkgb2YgUHJlc2VudCBJbGxuZXNzCkppbW1pZTkzCiBpcyBhIDI2IHllYXItb2xkIG5vbmhpc3BhbmljIHdoaXRlIG1hbGUuIFBhdGllbnQgaGFzIGEgaGlzdG9yeSBvZiBzdHJlcHRvY29jY2FsIHNvcmUgdGhyb2F0IChkaXNvcmRlciksIGFjdXRlIGJhY3RlcmlhbCBzaW51c2l0aXMgKGRpc29yZGVyKSwgbWVkaWNhdGlvbiByZXZpZXcgZHVlIChzaXR1YXRpb24pLCBhY3V0ZSB2aXJhbCBwaGFyeW5naXRpcyAoZGlzb3JkZXIpLCB2aWN0aW0gb2YgaW50aW1hdGUgcGFydG5lciBhYnVzZSAoZmluZGluZyksIHZpcmFsIHNpbnVzaXRpcyAoZGlzb3JkZXIpLCBhY3V0ZSBicm9uY2hpdGlzIChkaXNvcmRlciksIHBhcnQtdGltZSBlbXBsb3ltZW50IChmaW5kaW5nKSwgcmlzayBhY3Rpdml0eSBpbnZvbHZlbWVudCAoZmluZGluZyksIG5vdCBpbiBsYWJvciBmb3JjZSAoZmluZGluZyksIGxpbWl0ZWQgc29jaWFsIGNvbnRhY3QgKGZpbmRpbmcpLCB1bmhlYWx0aHkgYWxjb2hvbCBkcmlua2luZyBiZWhhdmlvciAoZmluZGluZyksIGZ1bGwtdGltZSBlbXBsb3ltZW50IChmaW5kaW5nKSwgc3RyZXNzIChmaW5kaW5nKS4KCiMgU29jaWFsIEhpc3RvcnkKIFBhdGllbnQgaGFzIG5ldmVyIHNtb2tlZC4KIFBhdGllbnQgaWRlbnRpZmllcyBhcyBoZXRlcm9zZXh1YWwuCgpQYXRpZW50IGNvbWVzIGZyb20gYSBtaWRkbGUgc29jaW9lY29ub21pYyBiYWNrZ3JvdW5kLgogUGF0aWVudCBoYXMgY29tcGxldGVkIHNvbWUgY29sbGVnZSBjb3Vyc2VzLgpQYXRpZW50IGN1cnJlbnRseSBoYXMgTWVkaWNhaWQuCgojIEFsbGVyZ2llcwpObyBLbm93biBBbGxlcmdpZXMuCgojIE1lZGljYXRpb25zCnBlbmljaWxsaW4gdiBwb3Rhc3NpdW0gMjUwIG1nIG9yYWwgdGFibGV0OyBsaXNpbm9wcmlsIDEwIG1nIG9yYWwgdGFibGV0OyBhY2V0YW1pbm9waGVuIDMyNSBtZyBvcmFsIHRhYmxldDsgYWNldGFtaW5vcGhlbiAzMjUgbWcgLyBveHljb2RvbmUgaHlkcm9jaGxvcmlkZSAxMCBtZyBvcmFsIHRhYmxldCBbcGVyY29jZXRdOyBhbWxvZGlwaW5lIDIuNSBtZyBvcmFsIHRhYmxldDsgdHJhbWFkb2wgaHlkcm9jaGxvcmlkZSA1MCBtZyBvcmFsIHRhYmxldAoKIyBBc3Nlc3NtZW50IGFuZCBQbGFuCgoKIyMgUGxhbgoKVGhlIGZvbGxvd2luZyBwcm9jZWR1cmVzIHdlcmUgY29uZHVjdGVkOgotIHN1cmdpY2FsIG1hbmlwdWxhdGlvbiBvZiBqb2ludCBvZiBrbmVlCi0gcG9zdG9wZXJhdGl2ZSBjYXJlIChyZWdpbWUvdGhlcmFweSkKVGhlIHBhdGllbnQgd2FzIHByZXNjcmliZWQgdGhlIGZvbGxvd2luZyBtZWRpY2F0aW9uczoKLSBtZXBlcmlkaW5lIGh5ZHJvY2hsb3JpZGUgNTAgbWcgb3JhbCB0YWJsZXQK"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ],
"period": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:ad376bf2-f3dd-2bf5-b9c5-e8431794a7a3",
"resource": {
"resourceType": "Claim",
"id": "ad376bf2-f3dd-2bf5-b9c5-e8431794a7a3",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"created": "2023-07-07T23:28:59+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b014aec7-7bd8-351f-8808-3e280cbc5be6",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:58f9c595-8362-fd07-a8f1-f1d01ddbd7c6"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:619947a6-74bf-2ba5-138b-515d0e7e6097"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "183495009",
"display": "Non-urgent orthopedic admission"
} ],
"text": "Non-urgent orthopedic admission"
},
"encounter": [ {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ]
}, {
"sequence": 2,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "699253003",
"display": "Surgical manipulation of joint of knee"
} ],
"text": "Surgical manipulation of joint of knee"
},
"net": {
"value": 18344.41,
"currency": "USD"
}
}, {
"sequence": 3,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "133899007",
"display": "Postoperative care (regime/therapy)"
} ],
"text": "Postoperative care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 18921.99,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:6451e6f1-9bf8-b574-57cf-7a4614795a88",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "6451e6f1-9bf8-b574-57cf-7a4614795a88",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "ad376bf2-f3dd-2bf5-b9c5-e8431794a7a3"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2024-07-07T23:28:59+02:00"
},
"created": "2023-07-07T23:28:59+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|57ae39bf-e7fc-3c2d-a9dd-1e9cd23c636f",
"display": "STEWARD HOLY FAMILY HOSPITAL INC"
},
"claim": {
"reference": "urn:uuid:ad376bf2-f3dd-2bf5-b9c5-e8431794a7a3"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999989491"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "183495009",
"display": "Non-urgent orthopedic admission"
} ],
"text": "Non-urgent orthopedic admission"
},
"servicedPeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
} ]
}, {
"sequence": 2,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "699253003",
"display": "Surgical manipulation of joint of knee"
} ],
"text": "Surgical manipulation of joint of knee"
},
"servicedPeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 18344.41,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 3668.882,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 14675.528,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 18344.41,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 18344.41,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "133899007",
"display": "Postoperative care (regime/therapy)"
} ],
"text": "Postoperative care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-04T01:52:59+02:00",
"end": "2023-07-07T23:28:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 18921.99,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 15020.648000000001,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f",
"resource": {
"resourceType": "Encounter",
"id": "7f129136-cec6-966e-d5ca-aa69728b660f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ]
},
"identifier": [ {
"use": "official",
"system": "https://github.com/synthetichealth/synthea",
"value": "7f129136-cec6-966e-d5ca-aa69728b660f"
} ],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP"
},
"type": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449411000124106",
"display": "Admission to skilled nursing facility (procedure)"
} ],
"text": "Admission to skilled nursing facility (procedure)"
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Mr. Jimmie93 Jeramy610 Pfeffer420"
},
"participant": [ {
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PPRF",
"display": "primary performer"
} ],
"text": "primary performer"
} ],
"period": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"individual": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093",
"display": "Dr. Beatriz277 Gamboa193"
}
} ],
"period": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"reasonCode": [ {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "25675004",
"display": "Patient transfer to skilled nursing facility (procedure)"
} ]
} ],
"location": [ {
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
} ],
"serviceProvider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b4359169-6bc8-3e93-9e0c-19c6bf518e58",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Encounter"
}
}, {
"fullUrl": "urn:uuid:42c3a208-73c5-3a22-8f6c-6544df0191a3",
"resource": {
"resourceType": "Condition",
"id": "42c3a208-73c5-3a22-8f6c-6544df0191a3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis" ]
},
"clinicalStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
} ]
},
"verificationStatus": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
} ]
},
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
} ]
} ],
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "25675004",
"display": "Patient transfer to skilled nursing facility (procedure)"
} ],
"text": "Patient transfer to skilled nursing facility (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"onsetDateTime": "2023-07-07T23:28:59+02:00",
"abatementDateTime": "2023-09-03T23:28:59+02:00",
"recordedDate": "2023-07-07T23:28:59+02:00"
},
"request": {
"method": "POST",
"url": "Condition"
}
}, {
"fullUrl": "urn:uuid:98e79f7a-4e3b-6e30-f81e-9d322ff9184b",
"resource": {
"resourceType": "Procedure",
"id": "98e79f7a-4e3b-6e30-f81e-9d322ff9184b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "63332003",
"display": "History AND physical examination (procedure)"
} ],
"text": "History AND physical examination (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-07-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9ab9317b-e098-7f25-14b8-2a0e3c5c1ce3",
"resource": {
"resourceType": "Procedure",
"id": "9ab9317b-e098-7f25-14b8-2a0e3c5c1ce3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "315639002",
"display": "Initial patient assessment (procedure)"
} ],
"text": "Initial patient assessment (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-07-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fdd0a487-93ed-442a-4e93-7274e89d38c9",
"resource": {
"resourceType": "Procedure",
"id": "fdd0a487-93ed-442a-4e93-7274e89d38c9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370789001",
"display": "Development of individualized plan of care (procedure)"
} ],
"text": "Development of individualized plan of care (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-07-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b0f50a69-bd19-17ef-0581-ca5e81c299dd",
"resource": {
"resourceType": "Procedure",
"id": "b0f50a69-bd19-17ef-0581-ca5e81c299dd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-07-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d26a89e9-1025-5eff-dac6-8f760b40f393",
"resource": {
"resourceType": "Procedure",
"id": "d26a89e9-1025-5eff-dac6-8f760b40f393",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-07-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7ad2e404-2195-2c9c-c1f3-69034ccf1f7d",
"resource": {
"resourceType": "Procedure",
"id": "7ad2e404-2195-2c9c-c1f3-69034ccf1f7d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-08T23:28:59+02:00",
"end": "2023-07-08T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f61a4195-6d84-2c1c-e938-d7f59e9eb552",
"resource": {
"resourceType": "Procedure",
"id": "f61a4195-6d84-2c1c-e938-d7f59e9eb552",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-09T23:28:59+02:00",
"end": "2023-07-09T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:97e5e7bf-477f-bd3e-b020-bbc9ae06c2ad",
"resource": {
"resourceType": "Procedure",
"id": "97e5e7bf-477f-bd3e-b020-bbc9ae06c2ad",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-09T23:28:59+02:00",
"end": "2023-07-09T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:568b3137-38f2-47dc-1bc3-0514e906df8a",
"resource": {
"resourceType": "Procedure",
"id": "568b3137-38f2-47dc-1bc3-0514e906df8a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-10T23:28:59+02:00",
"end": "2023-07-10T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c7c7b0aa-5617-9fd7-ecc5-214ec588421e",
"resource": {
"resourceType": "Procedure",
"id": "c7c7b0aa-5617-9fd7-ecc5-214ec588421e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-11T23:28:59+02:00",
"end": "2023-07-11T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b0d3dc76-a6b9-1b2c-9648-a7f6335bacf3",
"resource": {
"resourceType": "Procedure",
"id": "b0d3dc76-a6b9-1b2c-9648-a7f6335bacf3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-11T23:28:59+02:00",
"end": "2023-07-11T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2b949c2f-16ab-af1f-eb3e-d29e2439616c",
"resource": {
"resourceType": "Procedure",
"id": "2b949c2f-16ab-af1f-eb3e-d29e2439616c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-12T23:28:59+02:00",
"end": "2023-07-12T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d7d2f5de-b01c-05c6-916f-732b8ef50e11",
"resource": {
"resourceType": "Procedure",
"id": "d7d2f5de-b01c-05c6-916f-732b8ef50e11",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-13T23:28:59+02:00",
"end": "2023-07-13T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:04962b9f-1231-4415-581f-db4b077ae18c",
"resource": {
"resourceType": "Procedure",
"id": "04962b9f-1231-4415-581f-db4b077ae18c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-14T23:28:59+02:00",
"end": "2023-07-14T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e7675831-7ad2-b1c5-6710-593f03c4f8bd",
"resource": {
"resourceType": "Procedure",
"id": "e7675831-7ad2-b1c5-6710-593f03c4f8bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-15T23:28:59+02:00",
"end": "2023-07-15T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6c7fd22a-45cd-0041-e953-9ef90e746468",
"resource": {
"resourceType": "Procedure",
"id": "6c7fd22a-45cd-0041-e953-9ef90e746468",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-16T23:28:59+02:00",
"end": "2023-07-16T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:56796bfb-855d-4dbf-7f42-80db7804ac8c",
"resource": {
"resourceType": "Procedure",
"id": "56796bfb-855d-4dbf-7f42-80db7804ac8c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-17T23:28:59+02:00",
"end": "2023-07-17T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:ed4b219b-3d93-b3e2-49d1-9b04c70505f9",
"resource": {
"resourceType": "Procedure",
"id": "ed4b219b-3d93-b3e2-49d1-9b04c70505f9",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-18T23:28:59+02:00",
"end": "2023-07-18T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:dbb4de06-1c8d-2973-2095-ddeeff81c4fd",
"resource": {
"resourceType": "Procedure",
"id": "dbb4de06-1c8d-2973-2095-ddeeff81c4fd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-19T23:28:59+02:00",
"end": "2023-07-19T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:463b2ba2-6547-d433-50f2-5365897a1c9b",
"resource": {
"resourceType": "Procedure",
"id": "463b2ba2-6547-d433-50f2-5365897a1c9b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-20T23:28:59+02:00",
"end": "2023-07-20T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e8d2cee6-7f88-c6b6-6b68-ee065cc44282",
"resource": {
"resourceType": "Procedure",
"id": "e8d2cee6-7f88-c6b6-6b68-ee065cc44282",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-20T23:28:59+02:00",
"end": "2023-07-20T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:dee7a001-1586-a912-dae2-9ef584eaaa98",
"resource": {
"resourceType": "Procedure",
"id": "dee7a001-1586-a912-dae2-9ef584eaaa98",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-20T23:28:59+02:00",
"end": "2023-07-20T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e54c038f-a282-7c81-5889-33b06e28c759",
"resource": {
"resourceType": "Procedure",
"id": "e54c038f-a282-7c81-5889-33b06e28c759",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-21T23:28:59+02:00",
"end": "2023-07-21T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0bdb3146-26e4-1fcf-b210-aa239fa11e7f",
"resource": {
"resourceType": "Procedure",
"id": "0bdb3146-26e4-1fcf-b210-aa239fa11e7f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-22T23:28:59+02:00",
"end": "2023-07-22T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:edadc858-8cd2-feb6-8210-6e7bc901b1ef",
"resource": {
"resourceType": "Procedure",
"id": "edadc858-8cd2-feb6-8210-6e7bc901b1ef",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-23T23:28:59+02:00",
"end": "2023-07-23T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0262a48e-e70d-1a7b-adc0-d5468427bffa",
"resource": {
"resourceType": "Procedure",
"id": "0262a48e-e70d-1a7b-adc0-d5468427bffa",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-23T23:28:59+02:00",
"end": "2023-07-23T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:5b488bac-0c4b-190c-74ea-ef18c33fd32b",
"resource": {
"resourceType": "Procedure",
"id": "5b488bac-0c4b-190c-74ea-ef18c33fd32b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-24T23:28:59+02:00",
"end": "2023-07-24T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2c44f9b3-0fc5-a9de-0853-04fb7de25f19",
"resource": {
"resourceType": "Procedure",
"id": "2c44f9b3-0fc5-a9de-0853-04fb7de25f19",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-25T23:28:59+02:00",
"end": "2023-07-25T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:385ad807-772b-2c82-120f-4e1cd9af21fe",
"resource": {
"resourceType": "Procedure",
"id": "385ad807-772b-2c82-120f-4e1cd9af21fe",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-26T23:28:59+02:00",
"end": "2023-07-26T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:3292561d-1fb2-7957-b5ac-a1d8c16f0973",
"resource": {
"resourceType": "Procedure",
"id": "3292561d-1fb2-7957-b5ac-a1d8c16f0973",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-27T23:28:59+02:00",
"end": "2023-07-27T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b2b97088-7316-eae0-995f-9c86c3576c88",
"resource": {
"resourceType": "Procedure",
"id": "b2b97088-7316-eae0-995f-9c86c3576c88",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-28T23:28:59+02:00",
"end": "2023-07-28T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6daf1d8b-7d26-9a6b-51eb-b95213834c86",
"resource": {
"resourceType": "Procedure",
"id": "6daf1d8b-7d26-9a6b-51eb-b95213834c86",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-29T23:28:59+02:00",
"end": "2023-07-29T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:401123e6-191a-b346-0b88-4dc79f918129",
"resource": {
"resourceType": "Procedure",
"id": "401123e6-191a-b346-0b88-4dc79f918129",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-30T23:28:59+02:00",
"end": "2023-07-30T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:4f0216ca-ea40-ec65-9505-56cb01a5fd6c",
"resource": {
"resourceType": "Procedure",
"id": "4f0216ca-ea40-ec65-9505-56cb01a5fd6c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-07-31T23:28:59+02:00",
"end": "2023-07-31T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:882fdbb0-d458-7d8b-5b96-385d32fbe73d",
"resource": {
"resourceType": "Procedure",
"id": "882fdbb0-d458-7d8b-5b96-385d32fbe73d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-01T23:28:59+02:00",
"end": "2023-08-01T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c3ff2489-a185-1fc5-d3ed-0cb4b7bc1161",
"resource": {
"resourceType": "Procedure",
"id": "c3ff2489-a185-1fc5-d3ed-0cb4b7bc1161",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-01T23:28:59+02:00",
"end": "2023-08-01T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8d7dc068-9072-686b-06aa-ac462b9088a5",
"resource": {
"resourceType": "Procedure",
"id": "8d7dc068-9072-686b-06aa-ac462b9088a5",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-02T23:28:59+02:00",
"end": "2023-08-02T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6d4e8c0a-b39a-e6bc-a713-510bc99d844b",
"resource": {
"resourceType": "Procedure",
"id": "6d4e8c0a-b39a-e6bc-a713-510bc99d844b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-03T23:28:59+02:00",
"end": "2023-08-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6c3c4b89-cab4-bac7-6fe8-d365a122846a",
"resource": {
"resourceType": "Procedure",
"id": "6c3c4b89-cab4-bac7-6fe8-d365a122846a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-03T23:28:59+02:00",
"end": "2023-08-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:097213f0-cccb-5b47-1306-61c98d9d3fe2",
"resource": {
"resourceType": "Procedure",
"id": "097213f0-cccb-5b47-1306-61c98d9d3fe2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-03T23:28:59+02:00",
"end": "2023-08-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:09176d95-4ae8-09ee-c73a-1329a8a3efe7",
"resource": {
"resourceType": "Procedure",
"id": "09176d95-4ae8-09ee-c73a-1329a8a3efe7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-03T23:28:59+02:00",
"end": "2023-08-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2939607c-ce41-8be4-2923-104539bc411b",
"resource": {
"resourceType": "Procedure",
"id": "2939607c-ce41-8be4-2923-104539bc411b",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-04T23:28:59+02:00",
"end": "2023-08-04T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8b6efeeb-ba56-185f-6e72-f7ebd43de005",
"resource": {
"resourceType": "Procedure",
"id": "8b6efeeb-ba56-185f-6e72-f7ebd43de005",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-05T23:28:59+02:00",
"end": "2023-08-05T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:136dff10-4c95-9d98-17f0-505185532504",
"resource": {
"resourceType": "Procedure",
"id": "136dff10-4c95-9d98-17f0-505185532504",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-06T23:28:59+02:00",
"end": "2023-08-06T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:088c0f7d-a7dd-c65e-a416-b366d9bbd5f2",
"resource": {
"resourceType": "Procedure",
"id": "088c0f7d-a7dd-c65e-a416-b366d9bbd5f2",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-06T23:28:59+02:00",
"end": "2023-08-06T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fd3b1403-2df2-98b8-33bf-99093d2057fb",
"resource": {
"resourceType": "Procedure",
"id": "fd3b1403-2df2-98b8-33bf-99093d2057fb",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-07T23:28:59+02:00",
"end": "2023-08-07T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:541e1bda-0fb5-e2e6-723f-261fe3efd0e1",
"resource": {
"resourceType": "Procedure",
"id": "541e1bda-0fb5-e2e6-723f-261fe3efd0e1",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-08T23:28:59+02:00",
"end": "2023-08-08T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d32090b6-df7a-813c-8576-3033b174f44d",
"resource": {
"resourceType": "Procedure",
"id": "d32090b6-df7a-813c-8576-3033b174f44d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-08T23:28:59+02:00",
"end": "2023-08-08T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9ac68458-813a-9e32-cb61-c4025da26d5f",
"resource": {
"resourceType": "Procedure",
"id": "9ac68458-813a-9e32-cb61-c4025da26d5f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-09T23:28:59+02:00",
"end": "2023-08-09T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:e22864db-480c-7a55-c5b2-6f600f33a551",
"resource": {
"resourceType": "Procedure",
"id": "e22864db-480c-7a55-c5b2-6f600f33a551",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-09T23:28:59+02:00",
"end": "2023-08-09T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:533238be-9beb-1fba-4adf-16b1b8ed267e",
"resource": {
"resourceType": "Procedure",
"id": "533238be-9beb-1fba-4adf-16b1b8ed267e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-10T23:28:59+02:00",
"end": "2023-08-10T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:44564337-eb66-becd-2167-7d38dc38e8bd",
"resource": {
"resourceType": "Procedure",
"id": "44564337-eb66-becd-2167-7d38dc38e8bd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-11T23:28:59+02:00",
"end": "2023-08-11T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:7fdfd381-8c15-72e3-d2d0-4da19de069ca",
"resource": {
"resourceType": "Procedure",
"id": "7fdfd381-8c15-72e3-d2d0-4da19de069ca",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-11T23:28:59+02:00",
"end": "2023-08-11T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:01ab092b-5f83-91e1-e207-e9028fc8693c",
"resource": {
"resourceType": "Procedure",
"id": "01ab092b-5f83-91e1-e207-e9028fc8693c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-12T23:28:59+02:00",
"end": "2023-08-12T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:4cb87909-1fb7-2f4c-df59-bb74f738bc76",
"resource": {
"resourceType": "Procedure",
"id": "4cb87909-1fb7-2f4c-df59-bb74f738bc76",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-12T23:28:59+02:00",
"end": "2023-08-12T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:539cd100-aab6-e120-455a-b16e19b470db",
"resource": {
"resourceType": "Procedure",
"id": "539cd100-aab6-e120-455a-b16e19b470db",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-13T23:28:59+02:00",
"end": "2023-08-13T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:70c5be3b-cecb-727a-aaba-d77fc3c5a6b4",
"resource": {
"resourceType": "Procedure",
"id": "70c5be3b-cecb-727a-aaba-d77fc3c5a6b4",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-13T23:28:59+02:00",
"end": "2023-08-13T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9e1dcc43-d291-28c3-396f-5044066dcd1d",
"resource": {
"resourceType": "Procedure",
"id": "9e1dcc43-d291-28c3-396f-5044066dcd1d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-14T23:28:59+02:00",
"end": "2023-08-14T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:366637ab-4ad1-cf60-e5ee-8ca7a4da5d60",
"resource": {
"resourceType": "Procedure",
"id": "366637ab-4ad1-cf60-e5ee-8ca7a4da5d60",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-14T23:28:59+02:00",
"end": "2023-08-14T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:c9b43c5f-0f20-8c95-20e3-013536748f6a",
"resource": {
"resourceType": "Procedure",
"id": "c9b43c5f-0f20-8c95-20e3-013536748f6a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-15T23:28:59+02:00",
"end": "2023-08-15T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:00f74dab-2437-5748-c93e-792b1f2a9320",
"resource": {
"resourceType": "Procedure",
"id": "00f74dab-2437-5748-c93e-792b1f2a9320",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-15T23:28:59+02:00",
"end": "2023-08-15T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:85a72e8f-409f-b634-cfdc-e6ad6460f325",
"resource": {
"resourceType": "Procedure",
"id": "85a72e8f-409f-b634-cfdc-e6ad6460f325",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-15T23:28:59+02:00",
"end": "2023-08-15T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a5ea5918-92b1-940c-6e60-f6268a36d1db",
"resource": {
"resourceType": "Procedure",
"id": "a5ea5918-92b1-940c-6e60-f6268a36d1db",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-16T23:28:59+02:00",
"end": "2023-08-16T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:9d9d4f98-ba3c-96d9-b6fa-fb868aa07aff",
"resource": {
"resourceType": "Procedure",
"id": "9d9d4f98-ba3c-96d9-b6fa-fb868aa07aff",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-17T23:28:59+02:00",
"end": "2023-08-17T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:845bc417-25f7-3752-c8ef-55db6baa73d3",
"resource": {
"resourceType": "Procedure",
"id": "845bc417-25f7-3752-c8ef-55db6baa73d3",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-18T23:28:59+02:00",
"end": "2023-08-18T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2197b163-1438-c99d-84e7-e172710141e7",
"resource": {
"resourceType": "Procedure",
"id": "2197b163-1438-c99d-84e7-e172710141e7",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-19T23:28:59+02:00",
"end": "2023-08-19T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:1ad76a46-ed32-9e4b-3e6a-2fc6b139fcbc",
"resource": {
"resourceType": "Procedure",
"id": "1ad76a46-ed32-9e4b-3e6a-2fc6b139fcbc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-19T23:28:59+02:00",
"end": "2023-08-19T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f647c042-f49e-5b52-c33e-b9108e70c32d",
"resource": {
"resourceType": "Procedure",
"id": "f647c042-f49e-5b52-c33e-b9108e70c32d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-20T23:28:59+02:00",
"end": "2023-08-20T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:02cfce2d-d4eb-fb6e-c9f8-baef8296414d",
"resource": {
"resourceType": "Procedure",
"id": "02cfce2d-d4eb-fb6e-c9f8-baef8296414d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-21T23:28:59+02:00",
"end": "2023-08-21T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2b4d5cf1-f631-aacc-c07c-613f410ad9cc",
"resource": {
"resourceType": "Procedure",
"id": "2b4d5cf1-f631-aacc-c07c-613f410ad9cc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-22T23:28:59+02:00",
"end": "2023-08-22T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b2e5d1e7-de2c-3791-709a-1def15f034fc",
"resource": {
"resourceType": "Procedure",
"id": "b2e5d1e7-de2c-3791-709a-1def15f034fc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-23T23:28:59+02:00",
"end": "2023-08-23T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:03484019-9382-34ed-4c7d-73531c539981",
"resource": {
"resourceType": "Procedure",
"id": "03484019-9382-34ed-4c7d-73531c539981",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-23T23:28:59+02:00",
"end": "2023-08-23T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:a6e2f505-3686-cca3-f4f5-16b72a6e91be",
"resource": {
"resourceType": "Procedure",
"id": "a6e2f505-3686-cca3-f4f5-16b72a6e91be",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-24T23:28:59+02:00",
"end": "2023-08-24T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2303e3af-cc47-9dbc-b27a-5be631aa233d",
"resource": {
"resourceType": "Procedure",
"id": "2303e3af-cc47-9dbc-b27a-5be631aa233d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-24T23:28:59+02:00",
"end": "2023-08-24T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:b838d5a6-a87d-0e15-c0df-800f5a86016a",
"resource": {
"resourceType": "Procedure",
"id": "b838d5a6-a87d-0e15-c0df-800f5a86016a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-25T23:28:59+02:00",
"end": "2023-08-25T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:fdbd8114-a9d0-fc36-0a2a-cf3375b45dfc",
"resource": {
"resourceType": "Procedure",
"id": "fdbd8114-a9d0-fc36-0a2a-cf3375b45dfc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-25T23:28:59+02:00",
"end": "2023-08-25T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:2c7ae6af-4533-7ceb-a006-e5bfde2291cd",
"resource": {
"resourceType": "Procedure",
"id": "2c7ae6af-4533-7ceb-a006-e5bfde2291cd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-26T23:28:59+02:00",
"end": "2023-08-26T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:5ba87a43-8f9b-791f-1ccc-63ac6d270742",
"resource": {
"resourceType": "Procedure",
"id": "5ba87a43-8f9b-791f-1ccc-63ac6d270742",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-26T23:28:59+02:00",
"end": "2023-08-26T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0192ef9c-fe4d-6786-edd3-55b78cb59a7f",
"resource": {
"resourceType": "Procedure",
"id": "0192ef9c-fe4d-6786-edd3-55b78cb59a7f",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-27T23:28:59+02:00",
"end": "2023-08-27T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8ec5294a-9988-687b-bbd9-2b6479c4049d",
"resource": {
"resourceType": "Procedure",
"id": "8ec5294a-9988-687b-bbd9-2b6479c4049d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-27T23:28:59+02:00",
"end": "2023-08-27T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f73dba75-4ac8-5de1-e252-cd7005eabcdc",
"resource": {
"resourceType": "Procedure",
"id": "f73dba75-4ac8-5de1-e252-cd7005eabcdc",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-28T23:28:59+02:00",
"end": "2023-08-28T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:16a4f3f9-c3d5-ea62-9ef5-a3c8cdd2dcae",
"resource": {
"resourceType": "Procedure",
"id": "16a4f3f9-c3d5-ea62-9ef5-a3c8cdd2dcae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-29T23:28:59+02:00",
"end": "2023-08-29T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:f95854b7-093f-aa8d-90f9-300030e60dae",
"resource": {
"resourceType": "Procedure",
"id": "f95854b7-093f-aa8d-90f9-300030e60dae",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-29T23:28:59+02:00",
"end": "2023-08-29T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8a5aceb7-f149-3811-886c-f71ad105ae09",
"resource": {
"resourceType": "Procedure",
"id": "8a5aceb7-f149-3811-886c-f71ad105ae09",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-30T23:28:59+02:00",
"end": "2023-08-30T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:3ead374e-545c-931e-24da-6756619e12fd",
"resource": {
"resourceType": "Procedure",
"id": "3ead374e-545c-931e-24da-6756619e12fd",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-31T23:28:59+02:00",
"end": "2023-08-31T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:12c7d7ea-aee8-7c58-8817-000ab26952ba",
"resource": {
"resourceType": "Procedure",
"id": "12c7d7ea-aee8-7c58-8817-000ab26952ba",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-08-31T23:28:59+02:00",
"end": "2023-08-31T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:6908c8fa-0266-aea1-3fbf-6a69952e739e",
"resource": {
"resourceType": "Procedure",
"id": "6908c8fa-0266-aea1-3fbf-6a69952e739e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-09-01T23:28:59+02:00",
"end": "2023-09-01T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:0389c3e4-ff99-c0f6-61cb-ce36b13efa6e",
"resource": {
"resourceType": "Procedure",
"id": "0389c3e4-ff99-c0f6-61cb-ce36b13efa6e",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-09-02T23:28:59+02:00",
"end": "2023-09-02T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:d921c542-833f-8e4a-67e2-b330ccc02fea",
"resource": {
"resourceType": "Procedure",
"id": "d921c542-833f-8e4a-67e2-b330ccc02fea",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "225386006",
"display": "Pre-discharge assessment (procedure)"
} ],
"text": "Pre-discharge assessment (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-09-03T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:8ab920e1-c9d1-a416-f380-cb43d9cb4765",
"resource": {
"resourceType": "Procedure",
"id": "8ab920e1-c9d1-a416-f380-cb43d9cb4765",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
},
"status": "completed",
"code": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449381000124108",
"display": "Discharge from skilled nursing facility (procedure)"
} ],
"text": "Discharge from skilled nursing facility (procedure)"
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"performedPeriod": {
"start": "2023-09-03T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"location": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
}
},
"request": {
"method": "POST",
"url": "Procedure"
}
}, {
"fullUrl": "urn:uuid:62cdb3b6-ed7c-6e19-d16a-72222ca2c50d",
"resource": {
"resourceType": "Device",
"id": "62cdb3b6-ed7c-6e19-d16a-72222ca2c50d",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device" ]
},
"udiCarrier": [ {
"deviceIdentifier": "14473185297845",
"carrierHRF": "(01)14473185297845(11)230616(17)480630(10)18521(21)374442532"
} ],
"status": "active",
"distinctIdentifier": "14473185297845",
"manufactureDate": "2023-06-16T23:28:59+02:00",
"expirationDate": "2048-06-30T23:28:59+02:00",
"lotNumber": "18521",
"serialNumber": "374442532",
"deviceName": [ {
"name": "Manual wheelchair (physical object)",
"type": "user-friendly-name"
} ],
"type": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "228869008",
"display": "Manual wheelchair (physical object)"
} ],
"text": "Manual wheelchair (physical object)"
},
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
}
},
"request": {
"method": "POST",
"url": "Device"
}
}, {
"fullUrl": "urn:uuid:765c5205-ff5a-c8cb-e36d-b6db1d49ce4a",
"resource": {
"resourceType": "DiagnosticReport",
"id": "765c5205-ff5a-c8cb-e36d-b6db1d49ce4a",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"encounter": {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
},
"effectiveDateTime": "2023-07-07T23:28:59+02:00",
"issued": "2023-07-07T23:28:59.760+02:00",
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093",
"display": "Dr. Beatriz277 Gamboa193"
} ],
"presentedForm": [ {
"contentType": "text/plain; charset=utf-8",
"data": "
2023-07-07

# Chief Complaint
No complaints.

# History of Present Illness
Jimmie93
 is a 26 year-old nonhispanic white male. Patient has a history of streptococcal sore throat (disorder), acute bacterial sinusitis (disorder), medication review due (situation), acute viral pharyngitis (disorder), victim of intimate partner abuse (finding), viral sinusitis (disorder), acute bronchitis (disorder), part-time employment (finding), risk activity involvement (finding), not in labor force (finding), limited social contact (finding), unhealthy alcohol drinking behavior (finding), full-time employment (finding), stress (finding).

# Social History
 Patient has never smoked.
 Patient identifies as heterosexual.

Patient comes from a middle socioeconomic background.
 Patient has completed some college courses.
Patient currently has Medicaid.

# Allergies
No Known Allergies.

# Medications
penicillin v potassium 250 mg oral tablet; lisinopril 10 mg oral tablet; acetaminophen 325 mg oral tablet; acetaminophen 325 mg / oxycodone hydrochloride 10 mg oral tablet [percocet]; amlodipine 2.5 mg oral tablet; tramadol hydrochloride 50 mg oral tablet

# Assessment and Plan
Patient is presenting with patient transfer to skilled nursing facility (procedure). 

## Plan

The following procedures were conducted:
- history and physical examination (procedure)
- initial patient assessment (procedure)
- development of individualized plan of care (procedure)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- speech and language therapy regime (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- speech and language therapy regime (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- pre-discharge assessment (procedure)
- discharge from skilled nursing facility (procedure)
"
} ]
},
"request": {
"method": "POST",
"url": "DiagnosticReport"
}
}, {
"fullUrl": "urn:uuid:3a213f11-4df4-f56d-b24d-3a79d81b9e5c",
"resource": {
"resourceType": "DocumentReference",
"id": "3a213f11-4df4-f56d-b24d-3a79d81b9e5c",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference" ]
},
"identifier": [ {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:765c5205-ff5a-c8cb-e36d-b6db1d49ce4a"
} ],
"status": "current",
"type": {
"coding": [ {
"system": "http://loinc.org",
"code": "34117-2",
"display": "History and physical note"
}, {
"system": "http://loinc.org",
"code": "51847-2",
"display": "Evaluation + Plan note"
} ]
},
"category": [ {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
} ]
} ],
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"date": "2023-07-07T23:28:59.760+02:00",
"author": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093",
"display": "Dr. Beatriz277 Gamboa193"
} ],
"custodian": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b4359169-6bc8-3e93-9e0c-19c6bf518e58",
"display": "HDH CORPORATION"
},
"content": [ {
"attachment": {
"contentType": "text/plain; charset=utf-8",
"data": "
2023-07-07

# Chief Complaint
No complaints.

# History of Present Illness
Jimmie93
 is a 26 year-old nonhispanic white male. Patient has a history of streptococcal sore throat (disorder), acute bacterial sinusitis (disorder), medication review due (situation), acute viral pharyngitis (disorder), victim of intimate partner abuse (finding), viral sinusitis (disorder), acute bronchitis (disorder), part-time employment (finding), risk activity involvement (finding), not in labor force (finding), limited social contact (finding), unhealthy alcohol drinking behavior (finding), full-time employment (finding), stress (finding).

# Social History
 Patient has never smoked.
 Patient identifies as heterosexual.

Patient comes from a middle socioeconomic background.
 Patient has completed some college courses.
Patient currently has Medicaid.

# Allergies
No Known Allergies.

# Medications
penicillin v potassium 250 mg oral tablet; lisinopril 10 mg oral tablet; acetaminophen 325 mg oral tablet; acetaminophen 325 mg / oxycodone hydrochloride 10 mg oral tablet [percocet]; amlodipine 2.5 mg oral tablet; tramadol hydrochloride 50 mg oral tablet

# Assessment and Plan
Patient is presenting with patient transfer to skilled nursing facility (procedure). 

## Plan

The following procedures were conducted:
- history and physical examination (procedure)
- initial patient assessment (procedure)
- development of individualized plan of care (procedure)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- speech and language therapy regime (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- speech and language therapy regime (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- professional / ancillary services care (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- occupational therapy (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- physical therapy procedure (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- nursing care/supplementary surveillance (regime/therapy)
- pre-discharge assessment (procedure)
- discharge from skilled nursing facility (procedure)
"
},
"format": {
"system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
} ],
"context": {
"encounter": [ {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
} ],
"period": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
}
}
},
"request": {
"method": "POST",
"url": "DocumentReference"
}
}, {
"fullUrl": "urn:uuid:2a8395a3-8f43-e616-9013-dc280fcee3ce",
"resource": {
"resourceType": "Claim",
"id": "2a8395a3-8f43-e616-9013-dc280fcee3ce",
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863",
"display": "Jimmie93 Pfeffer420"
},
"billablePeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"created": "2023-09-03T23:43:59+02:00",
"provider": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b4359169-6bc8-3e93-9e0c-19c6bf518e58",
"display": "HDH CORPORATION"
},
"priority": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
} ]
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
},
"supportingInfo": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "info"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:42c3a208-73c5-3a22-8f6c-6544df0191a3"
}
} ],
"procedure": [ {
"sequence": 1,
"procedureReference": {
"reference": "urn:uuid:98e79f7a-4e3b-6e30-f81e-9d322ff9184b"
}
}, {
"sequence": 2,
"procedureReference": {
"reference": "urn:uuid:9ab9317b-e098-7f25-14b8-2a0e3c5c1ce3"
}
}, {
"sequence": 3,
"procedureReference": {
"reference": "urn:uuid:fdd0a487-93ed-442a-4e93-7274e89d38c9"
}
}, {
"sequence": 4,
"procedureReference": {
"reference": "urn:uuid:b0f50a69-bd19-17ef-0581-ca5e81c299dd"
}
}, {
"sequence": 5,
"procedureReference": {
"reference": "urn:uuid:d26a89e9-1025-5eff-dac6-8f760b40f393"
}
}, {
"sequence": 6,
"procedureReference": {
"reference": "urn:uuid:7ad2e404-2195-2c9c-c1f3-69034ccf1f7d"
}
}, {
"sequence": 7,
"procedureReference": {
"reference": "urn:uuid:f61a4195-6d84-2c1c-e938-d7f59e9eb552"
}
}, {
"sequence": 8,
"procedureReference": {
"reference": "urn:uuid:97e5e7bf-477f-bd3e-b020-bbc9ae06c2ad"
}
}, {
"sequence": 9,
"procedureReference": {
"reference": "urn:uuid:568b3137-38f2-47dc-1bc3-0514e906df8a"
}
}, {
"sequence": 10,
"procedureReference": {
"reference": "urn:uuid:c7c7b0aa-5617-9fd7-ecc5-214ec588421e"
}
}, {
"sequence": 11,
"procedureReference": {
"reference": "urn:uuid:b0d3dc76-a6b9-1b2c-9648-a7f6335bacf3"
}
}, {
"sequence": 12,
"procedureReference": {
"reference": "urn:uuid:2b949c2f-16ab-af1f-eb3e-d29e2439616c"
}
}, {
"sequence": 13,
"procedureReference": {
"reference": "urn:uuid:d7d2f5de-b01c-05c6-916f-732b8ef50e11"
}
}, {
"sequence": 14,
"procedureReference": {
"reference": "urn:uuid:04962b9f-1231-4415-581f-db4b077ae18c"
}
}, {
"sequence": 15,
"procedureReference": {
"reference": "urn:uuid:e7675831-7ad2-b1c5-6710-593f03c4f8bd"
}
}, {
"sequence": 16,
"procedureReference": {
"reference": "urn:uuid:6c7fd22a-45cd-0041-e953-9ef90e746468"
}
}, {
"sequence": 17,
"procedureReference": {
"reference": "urn:uuid:56796bfb-855d-4dbf-7f42-80db7804ac8c"
}
}, {
"sequence": 18,
"procedureReference": {
"reference": "urn:uuid:ed4b219b-3d93-b3e2-49d1-9b04c70505f9"
}
}, {
"sequence": 19,
"procedureReference": {
"reference": "urn:uuid:dbb4de06-1c8d-2973-2095-ddeeff81c4fd"
}
}, {
"sequence": 20,
"procedureReference": {
"reference": "urn:uuid:463b2ba2-6547-d433-50f2-5365897a1c9b"
}
}, {
"sequence": 21,
"procedureReference": {
"reference": "urn:uuid:e8d2cee6-7f88-c6b6-6b68-ee065cc44282"
}
}, {
"sequence": 22,
"procedureReference": {
"reference": "urn:uuid:dee7a001-1586-a912-dae2-9ef584eaaa98"
}
}, {
"sequence": 23,
"procedureReference": {
"reference": "urn:uuid:e54c038f-a282-7c81-5889-33b06e28c759"
}
}, {
"sequence": 24,
"procedureReference": {
"reference": "urn:uuid:0bdb3146-26e4-1fcf-b210-aa239fa11e7f"
}
}, {
"sequence": 25,
"procedureReference": {
"reference": "urn:uuid:edadc858-8cd2-feb6-8210-6e7bc901b1ef"
}
}, {
"sequence": 26,
"procedureReference": {
"reference": "urn:uuid:0262a48e-e70d-1a7b-adc0-d5468427bffa"
}
}, {
"sequence": 27,
"procedureReference": {
"reference": "urn:uuid:5b488bac-0c4b-190c-74ea-ef18c33fd32b"
}
}, {
"sequence": 28,
"procedureReference": {
"reference": "urn:uuid:2c44f9b3-0fc5-a9de-0853-04fb7de25f19"
}
}, {
"sequence": 29,
"procedureReference": {
"reference": "urn:uuid:385ad807-772b-2c82-120f-4e1cd9af21fe"
}
}, {
"sequence": 30,
"procedureReference": {
"reference": "urn:uuid:3292561d-1fb2-7957-b5ac-a1d8c16f0973"
}
}, {
"sequence": 31,
"procedureReference": {
"reference": "urn:uuid:b2b97088-7316-eae0-995f-9c86c3576c88"
}
}, {
"sequence": 32,
"procedureReference": {
"reference": "urn:uuid:6daf1d8b-7d26-9a6b-51eb-b95213834c86"
}
}, {
"sequence": 33,
"procedureReference": {
"reference": "urn:uuid:401123e6-191a-b346-0b88-4dc79f918129"
}
}, {
"sequence": 34,
"procedureReference": {
"reference": "urn:uuid:4f0216ca-ea40-ec65-9505-56cb01a5fd6c"
}
}, {
"sequence": 35,
"procedureReference": {
"reference": "urn:uuid:882fdbb0-d458-7d8b-5b96-385d32fbe73d"
}
}, {
"sequence": 36,
"procedureReference": {
"reference": "urn:uuid:c3ff2489-a185-1fc5-d3ed-0cb4b7bc1161"
}
}, {
"sequence": 37,
"procedureReference": {
"reference": "urn:uuid:8d7dc068-9072-686b-06aa-ac462b9088a5"
}
}, {
"sequence": 38,
"procedureReference": {
"reference": "urn:uuid:6d4e8c0a-b39a-e6bc-a713-510bc99d844b"
}
}, {
"sequence": 39,
"procedureReference": {
"reference": "urn:uuid:6c3c4b89-cab4-bac7-6fe8-d365a122846a"
}
}, {
"sequence": 40,
"procedureReference": {
"reference": "urn:uuid:097213f0-cccb-5b47-1306-61c98d9d3fe2"
}
}, {
"sequence": 41,
"procedureReference": {
"reference": "urn:uuid:09176d95-4ae8-09ee-c73a-1329a8a3efe7"
}
}, {
"sequence": 42,
"procedureReference": {
"reference": "urn:uuid:2939607c-ce41-8be4-2923-104539bc411b"
}
}, {
"sequence": 43,
"procedureReference": {
"reference": "urn:uuid:8b6efeeb-ba56-185f-6e72-f7ebd43de005"
}
}, {
"sequence": 44,
"procedureReference": {
"reference": "urn:uuid:136dff10-4c95-9d98-17f0-505185532504"
}
}, {
"sequence": 45,
"procedureReference": {
"reference": "urn:uuid:088c0f7d-a7dd-c65e-a416-b366d9bbd5f2"
}
}, {
"sequence": 46,
"procedureReference": {
"reference": "urn:uuid:fd3b1403-2df2-98b8-33bf-99093d2057fb"
}
}, {
"sequence": 47,
"procedureReference": {
"reference": "urn:uuid:541e1bda-0fb5-e2e6-723f-261fe3efd0e1"
}
}, {
"sequence": 48,
"procedureReference": {
"reference": "urn:uuid:d32090b6-df7a-813c-8576-3033b174f44d"
}
}, {
"sequence": 49,
"procedureReference": {
"reference": "urn:uuid:9ac68458-813a-9e32-cb61-c4025da26d5f"
}
}, {
"sequence": 50,
"procedureReference": {
"reference": "urn:uuid:e22864db-480c-7a55-c5b2-6f600f33a551"
}
}, {
"sequence": 51,
"procedureReference": {
"reference": "urn:uuid:533238be-9beb-1fba-4adf-16b1b8ed267e"
}
}, {
"sequence": 52,
"procedureReference": {
"reference": "urn:uuid:44564337-eb66-becd-2167-7d38dc38e8bd"
}
}, {
"sequence": 53,
"procedureReference": {
"reference": "urn:uuid:7fdfd381-8c15-72e3-d2d0-4da19de069ca"
}
}, {
"sequence": 54,
"procedureReference": {
"reference": "urn:uuid:01ab092b-5f83-91e1-e207-e9028fc8693c"
}
}, {
"sequence": 55,
"procedureReference": {
"reference": "urn:uuid:4cb87909-1fb7-2f4c-df59-bb74f738bc76"
}
}, {
"sequence": 56,
"procedureReference": {
"reference": "urn:uuid:539cd100-aab6-e120-455a-b16e19b470db"
}
}, {
"sequence": 57,
"procedureReference": {
"reference": "urn:uuid:70c5be3b-cecb-727a-aaba-d77fc3c5a6b4"
}
}, {
"sequence": 58,
"procedureReference": {
"reference": "urn:uuid:9e1dcc43-d291-28c3-396f-5044066dcd1d"
}
}, {
"sequence": 59,
"procedureReference": {
"reference": "urn:uuid:366637ab-4ad1-cf60-e5ee-8ca7a4da5d60"
}
}, {
"sequence": 60,
"procedureReference": {
"reference": "urn:uuid:c9b43c5f-0f20-8c95-20e3-013536748f6a"
}
}, {
"sequence": 61,
"procedureReference": {
"reference": "urn:uuid:00f74dab-2437-5748-c93e-792b1f2a9320"
}
}, {
"sequence": 62,
"procedureReference": {
"reference": "urn:uuid:85a72e8f-409f-b634-cfdc-e6ad6460f325"
}
}, {
"sequence": 63,
"procedureReference": {
"reference": "urn:uuid:a5ea5918-92b1-940c-6e60-f6268a36d1db"
}
}, {
"sequence": 64,
"procedureReference": {
"reference": "urn:uuid:9d9d4f98-ba3c-96d9-b6fa-fb868aa07aff"
}
}, {
"sequence": 65,
"procedureReference": {
"reference": "urn:uuid:845bc417-25f7-3752-c8ef-55db6baa73d3"
}
}, {
"sequence": 66,
"procedureReference": {
"reference": "urn:uuid:2197b163-1438-c99d-84e7-e172710141e7"
}
}, {
"sequence": 67,
"procedureReference": {
"reference": "urn:uuid:1ad76a46-ed32-9e4b-3e6a-2fc6b139fcbc"
}
}, {
"sequence": 68,
"procedureReference": {
"reference": "urn:uuid:f647c042-f49e-5b52-c33e-b9108e70c32d"
}
}, {
"sequence": 69,
"procedureReference": {
"reference": "urn:uuid:02cfce2d-d4eb-fb6e-c9f8-baef8296414d"
}
}, {
"sequence": 70,
"procedureReference": {
"reference": "urn:uuid:2b4d5cf1-f631-aacc-c07c-613f410ad9cc"
}
}, {
"sequence": 71,
"procedureReference": {
"reference": "urn:uuid:b2e5d1e7-de2c-3791-709a-1def15f034fc"
}
}, {
"sequence": 72,
"procedureReference": {
"reference": "urn:uuid:03484019-9382-34ed-4c7d-73531c539981"
}
}, {
"sequence": 73,
"procedureReference": {
"reference": "urn:uuid:a6e2f505-3686-cca3-f4f5-16b72a6e91be"
}
}, {
"sequence": 74,
"procedureReference": {
"reference": "urn:uuid:2303e3af-cc47-9dbc-b27a-5be631aa233d"
}
}, {
"sequence": 75,
"procedureReference": {
"reference": "urn:uuid:b838d5a6-a87d-0e15-c0df-800f5a86016a"
}
}, {
"sequence": 76,
"procedureReference": {
"reference": "urn:uuid:fdbd8114-a9d0-fc36-0a2a-cf3375b45dfc"
}
}, {
"sequence": 77,
"procedureReference": {
"reference": "urn:uuid:2c7ae6af-4533-7ceb-a006-e5bfde2291cd"
}
}, {
"sequence": 78,
"procedureReference": {
"reference": "urn:uuid:5ba87a43-8f9b-791f-1ccc-63ac6d270742"
}
}, {
"sequence": 79,
"procedureReference": {
"reference": "urn:uuid:0192ef9c-fe4d-6786-edd3-55b78cb59a7f"
}
}, {
"sequence": 80,
"procedureReference": {
"reference": "urn:uuid:8ec5294a-9988-687b-bbd9-2b6479c4049d"
}
}, {
"sequence": 81,
"procedureReference": {
"reference": "urn:uuid:f73dba75-4ac8-5de1-e252-cd7005eabcdc"
}
}, {
"sequence": 82,
"procedureReference": {
"reference": "urn:uuid:16a4f3f9-c3d5-ea62-9ef5-a3c8cdd2dcae"
}
}, {
"sequence": 83,
"procedureReference": {
"reference": "urn:uuid:f95854b7-093f-aa8d-90f9-300030e60dae"
}
}, {
"sequence": 84,
"procedureReference": {
"reference": "urn:uuid:8a5aceb7-f149-3811-886c-f71ad105ae09"
}
}, {
"sequence": 85,
"procedureReference": {
"reference": "urn:uuid:3ead374e-545c-931e-24da-6756619e12fd"
}
}, {
"sequence": 86,
"procedureReference": {
"reference": "urn:uuid:12c7d7ea-aee8-7c58-8817-000ab26952ba"
}
}, {
"sequence": 87,
"procedureReference": {
"reference": "urn:uuid:6908c8fa-0266-aea1-3fbf-6a69952e739e"
}
}, {
"sequence": 88,
"procedureReference": {
"reference": "urn:uuid:0389c3e4-ff99-c0f6-61cb-ce36b13efa6e"
}
}, {
"sequence": 89,
"procedureReference": {
"reference": "urn:uuid:d921c542-833f-8e4a-67e2-b330ccc02fea"
}
}, {
"sequence": 90,
"procedureReference": {
"reference": "urn:uuid:8ab920e1-c9d1-a416-f380-cb43d9cb4765"
}
} ],
"insurance": [ {
"sequence": 1,
"focal": true,
"coverage": {
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449411000124106",
"display": "Admission to skilled nursing facility (procedure)"
} ],
"text": "Admission to skilled nursing facility (procedure)"
},
"encounter": [ {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "25675004",
"display": "Patient transfer to skilled nursing facility (procedure)"
} ],
"text": "Patient transfer to skilled nursing facility (procedure)"
}
}, {
"sequence": 3,
"procedureSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "63332003",
"display": "History AND physical examination (procedure)"
} ],
"text": "History AND physical examination (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 4,
"procedureSequence": [ 2 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "315639002",
"display": "Initial patient assessment (procedure)"
} ],
"text": "Initial patient assessment (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "228869008",
"display": "Manual wheelchair (physical object)"
} ],
"text": "Manual wheelchair (physical object)"
},
"net": {
"value": 0.00,
"currency": "USD"
}
}, {
"sequence": 6,
"procedureSequence": [ 3 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370789001",
"display": "Development of individualized plan of care (procedure)"
} ],
"text": "Development of individualized plan of care (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 7,
"procedureSequence": [ 4 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 8,
"procedureSequence": [ 5 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 9,
"procedureSequence": [ 6 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 10,
"procedureSequence": [ 7 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 11,
"procedureSequence": [ 8 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 12,
"procedureSequence": [ 9 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 13,
"procedureSequence": [ 10 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 14,
"procedureSequence": [ 11 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 345.84,
"currency": "USD"
}
}, {
"sequence": 15,
"procedureSequence": [ 12 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 16,
"procedureSequence": [ 13 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 17,
"procedureSequence": [ 14 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 18,
"procedureSequence": [ 15 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 19,
"procedureSequence": [ 16 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 20,
"procedureSequence": [ 17 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 21,
"procedureSequence": [ 18 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 22,
"procedureSequence": [ 19 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 23,
"procedureSequence": [ 20 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 24,
"procedureSequence": [ 21 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 25,
"procedureSequence": [ 22 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 26,
"procedureSequence": [ 23 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 27,
"procedureSequence": [ 24 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 28,
"procedureSequence": [ 25 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 29,
"procedureSequence": [ 26 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 30,
"procedureSequence": [ 27 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 31,
"procedureSequence": [ 28 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 32,
"procedureSequence": [ 29 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 33,
"procedureSequence": [ 30 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 34,
"procedureSequence": [ 31 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 35,
"procedureSequence": [ 32 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 36,
"procedureSequence": [ 33 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 37,
"procedureSequence": [ 34 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 38,
"procedureSequence": [ 35 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 39,
"procedureSequence": [ 36 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 40,
"procedureSequence": [ 37 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 41,
"procedureSequence": [ 38 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 42,
"procedureSequence": [ 39 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 43,
"procedureSequence": [ 40 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 44,
"procedureSequence": [ 41 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 45,
"procedureSequence": [ 42 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 46,
"procedureSequence": [ 43 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 47,
"procedureSequence": [ 44 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 48,
"procedureSequence": [ 45 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 49,
"procedureSequence": [ 46 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 50,
"procedureSequence": [ 47 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 51,
"procedureSequence": [ 48 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 52,
"procedureSequence": [ 49 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 53,
"procedureSequence": [ 50 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 54,
"procedureSequence": [ 51 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 55,
"procedureSequence": [ 52 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 56,
"procedureSequence": [ 53 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 57,
"procedureSequence": [ 54 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 58,
"procedureSequence": [ 55 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 381.25,
"currency": "USD"
}
}, {
"sequence": 59,
"procedureSequence": [ 56 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 60,
"procedureSequence": [ 57 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 776.14,
"currency": "USD"
}
}, {
"sequence": 61,
"procedureSequence": [ 58 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 62,
"procedureSequence": [ 59 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 63,
"procedureSequence": [ 60 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 64,
"procedureSequence": [ 61 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 65,
"procedureSequence": [ 62 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 66,
"procedureSequence": [ 63 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 67,
"procedureSequence": [ 64 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 68,
"procedureSequence": [ 65 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 69,
"procedureSequence": [ 66 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 70,
"procedureSequence": [ 67 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 71,
"procedureSequence": [ 68 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 72,
"procedureSequence": [ 69 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 73,
"procedureSequence": [ 70 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 74,
"procedureSequence": [ 71 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 75,
"procedureSequence": [ 72 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 299.04,
"currency": "USD"
}
}, {
"sequence": 76,
"procedureSequence": [ 73 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 77,
"procedureSequence": [ 74 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 756.94,
"currency": "USD"
}
}, {
"sequence": 78,
"procedureSequence": [ 75 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 79,
"procedureSequence": [ 76 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 80,
"procedureSequence": [ 77 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 81,
"procedureSequence": [ 78 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 82,
"procedureSequence": [ 79 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 83,
"procedureSequence": [ 80 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 84,
"procedureSequence": [ 81 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 85,
"procedureSequence": [ 82 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 86,
"procedureSequence": [ 83 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 459.18,
"currency": "USD"
}
}, {
"sequence": 87,
"procedureSequence": [ 84 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 88,
"procedureSequence": [ 85 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 89,
"procedureSequence": [ 86 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"net": {
"value": 409.18,
"currency": "USD"
}
}, {
"sequence": 90,
"procedureSequence": [ 87 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 91,
"procedureSequence": [ 88 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 92,
"procedureSequence": [ 89 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "225386006",
"display": "Pre-discharge assessment (procedure)"
} ],
"text": "Pre-discharge assessment (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
}, {
"sequence": 93,
"procedureSequence": [ 90 ],
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449381000124108",
"display": "Discharge from skilled nursing facility (procedure)"
} ],
"text": "Discharge from skilled nursing facility (procedure)"
},
"net": {
"value": 431.40,
"currency": "USD"
}
} ],
"total": {
"value": 39344.69,
"currency": "USD"
}
},
"request": {
"method": "POST",
"url": "Claim"
}
}, {
"fullUrl": "urn:uuid:b594c754-319e-cbec-02e6-a956ee19cde3",
"resource": {
"resourceType": "ExplanationOfBenefit",
"id": "b594c754-319e-cbec-02e6-a956ee19cde3",
"contained": [ {
"resourceType": "ServiceRequest",
"id": "referral",
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"requester": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093"
},
"performer": [ {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093"
} ]
}, {
"resourceType": "Coverage",
"id": "coverage",
"status": "active",
"type": {
"text": "Medicaid"
},
"beneficiary": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"payor": [ {
"display": "Medicaid"
} ]
} ],
"identifier": [ {
"system": "https://bluebutton.cms.gov/resources/variables/clm_id",
"value": "2a8395a3-8f43-e616-9013-dc280fcee3ce"
}, {
"system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
"value": "99999999999"
} ],
"status": "active",
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
} ]
},
"use": "claim",
"patient": {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
},
"billablePeriod": {
"start": "2023-09-03T23:43:59+02:00",
"end": "2024-09-03T23:43:59+02:00"
},
"created": "2023-09-03T23:43:59+02:00",
"insurer": {
"display": "Medicaid"
},
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093"
},
"referral": {
"reference": "#referral"
},
"facility": {
"reference": "Location?identifier=https://github.com/synthetichealth/synthea|46bae24b-5caf-397a-a357-a0266bdd231b",
"display": "HDH CORPORATION"
},
"claim": {
"reference": "urn:uuid:2a8395a3-8f43-e616-9013-dc280fcee3ce"
},
"outcome": "complete",
"careTeam": [ {
"sequence": 1,
"provider": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093"
},
"role": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
"code": "primary",
"display": "Primary provider"
} ]
}
} ],
"diagnosis": [ {
"sequence": 1,
"diagnosisReference": {
"reference": "urn:uuid:42c3a208-73c5-3a22-8f6c-6544df0191a3"
},
"type": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code": "principal"
} ]
} ]
} ],
"insurance": [ {
"focal": true,
"coverage": {
"reference": "#coverage",
"display": "Medicaid"
}
} ],
"item": [ {
"sequence": 1,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449411000124106",
"display": "Admission to skilled nursing facility (procedure)"
} ],
"text": "Admission to skilled nursing facility (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"encounter": [ {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
} ]
}, {
"sequence": 2,
"diagnosisSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "25675004",
"display": "Patient transfer to skilled nursing facility (procedure)"
} ],
"text": "Patient transfer to skilled nursing facility (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
}
}, {
"sequence": 3,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "63332003",
"display": "History AND physical examination (procedure)"
} ],
"text": "History AND physical examination (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 4,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "315639002",
"display": "Initial patient assessment (procedure)"
} ],
"text": "Initial patient assessment (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 5,
"informationSequence": [ 1 ],
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "228869008",
"display": "Manual wheelchair (physical object)"
} ],
"text": "Manual wheelchair (physical object)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 0.00,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 0.0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 0.0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 0.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 0.00,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 6,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "370789001",
"display": "Development of individualized plan of care (procedure)"
} ],
"text": "Development of individualized plan of care (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 7,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 8,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 9,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 10,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 11,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 12,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 13,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 14,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 345.84,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 69.16799999999999,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 276.67199999999997,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 345.84,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 345.84,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 15,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 16,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 17,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 18,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 19,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 20,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 21,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 22,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 23,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 24,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 25,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 26,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 27,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 28,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 29,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 30,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 31,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 32,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 33,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 34,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 35,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 36,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 37,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 38,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 39,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 40,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 41,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 42,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 43,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "311555007",
"display": "Speech and language therapy regime (regime/therapy)"
} ],
"text": "Speech and language therapy regime (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 44,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 45,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 46,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 47,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 48,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 49,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 50,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 51,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 52,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 53,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 54,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 55,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 56,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 57,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 58,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 381.25,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 76.25,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 305.0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 381.25,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 381.25,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 59,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 60,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 776.14,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 155.228,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 620.912,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 776.14,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 776.14,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 61,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 62,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 63,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 64,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 65,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 66,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 67,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 68,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 69,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 70,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 71,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 72,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 73,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 74,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 75,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 299.04,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 59.80800000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 239.23200000000003,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 299.04,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 299.04,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 76,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 77,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 756.94,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 151.388,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 605.552,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 756.94,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 756.94,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 78,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 79,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 80,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 81,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "409023009",
"display": "Professional / ancillary services care (regime/therapy)"
} ],
"text": "Professional / ancillary services care (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 82,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 83,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "84478008",
"display": "Occupational therapy (regime/therapy)"
} ],
"text": "Occupational therapy (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 84,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 85,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 86,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 459.18,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 91.83600000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 367.34400000000005,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 459.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 459.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 87,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 88,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 89,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "91251008",
"display": "Physical therapy procedure (regime/therapy)"
} ],
"text": "Physical therapy procedure (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 409.18,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 81.83600000000001,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 327.34400000000005,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 409.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 409.18,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 90,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 91,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "410401003",
"display": "Nursing care/supplementary surveillance (regime/therapy)"
} ],
"text": "Nursing care/supplementary surveillance (regime/therapy)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 92,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "225386006",
"display": "Pre-discharge assessment (procedure)"
} ],
"text": "Pre-discharge assessment (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
}, {
"sequence": 93,
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
"code": "1",
"display": "Medical care"
} ]
},
"productOrService": {
"coding": [ {
"system": "http://snomed.info/sct",
"code": "449381000124108",
"display": "Discharge from skilled nursing facility (procedure)"
} ],
"text": "Discharge from skilled nursing facility (procedure)"
},
"servicedPeriod": {
"start": "2023-07-07T23:28:59+02:00",
"end": "2023-09-03T23:43:59+02:00"
},
"locationCodeableConcept": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/ex-serviceplace",
"code": "21",
"display": "Inpatient Hospital"
} ]
},
"net": {
"value": 431.40,
"currency": "USD"
},
"adjudication": [ {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt",
"display": "Line Beneficiary Coinsurance Amount"
} ]
},
"amount": {
"value": 86.28,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prvdr_pmt_amt",
"display": "Line Provider Payment Amount"
} ]
},
"amount": {
"value": 345.12,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_sbmtd_chrg_amt",
"display": "Line Submitted Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt",
"display": "Line Allowed Charge Amount"
} ]
},
"amount": {
"value": 431.40,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_bene_ptb_ddctbl_amt",
"display": "Line Beneficiary Part B Deductible Amount"
} ]
},
"amount": {
"value": 0,
"currency": "USD"
}
}, {
"category": {
"coding": [ {
"system": "https://bluebutton.cms.gov/resources/codesystem/adjudication",
"code": "https://bluebutton.cms.gov/resources/variables/line_prcsg_ind_cd",
"display": "Line Processing Indicator Code"
} ]
}
} ]
} ],
"total": [ {
"category": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted",
"display": "Submitted Amount"
} ],
"text": "Submitted Amount"
},
"amount": {
"value": 39344.69,
"currency": "USD"
}
} ],
"payment": {
"amount": {
"value": 31387.01599999998,
"currency": "USD"
}
}
},
"request": {
"method": "POST",
"url": "ExplanationOfBenefit"
}
}, {
"fullUrl": "urn:uuid:b7a5a78c-a190-eb6c-04f7-88052a92ef53",
"resource": {
"resourceType": "Provenance",
"id": "b7a5a78c-a190-eb6c-04f7-88052a92ef53",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance" ]
},
"target": [ {
"reference": "urn:uuid:b60cecd8-24c6-7983-3915-3bd6e8ede863"
}, {
"reference": "urn:uuid:f83f62cd-6663-7626-664b-e11a7ad2ee79"
}, {
"reference": "urn:uuid:dd1a32f2-5e0a-bca8-0182-7cb4e4291b9f"
}, {
"reference": "urn:uuid:77d758b3-aa20-00aa-06ce-db7360a8b315"
}, {
"reference": "urn:uuid:35e436d4-68b3-0f00-7b77-8b4c24c90cb4"
}, {
"reference": "urn:uuid:4c13d00f-fe97-8f13-1695-f904be35e234"
}, {
"reference": "urn:uuid:85ad8d62-328e-ef8d-1ee2-d4e414b2f79d"
}, {
"reference": "urn:uuid:51c28b2f-9ec2-8e14-61f3-f8a3ca45d7e8"
}, {
"reference": "urn:uuid:f3df2b15-7a75-a62e-9557-ff30e719fd72"
}, {
"reference": "urn:uuid:dcfc9222-7da4-6612-9e5c-6d66d6d9ad8e"
}, {
"reference": "urn:uuid:09e7bb5e-9d68-ae8f-b423-99699c42d158"
}, {
"reference": "urn:uuid:9a667e65-9869-9918-cadb-cb68a338c1e9"
}, {
"reference": "urn:uuid:d26db98f-d795-527c-36a6-d8b242245692"
}, {
"reference": "urn:uuid:348dcd18-1d78-2aac-91a7-a41a0f61ede6"
}, {
"reference": "urn:uuid:32a28961-76ce-7570-705a-fce688e21370"
}, {
"reference": "urn:uuid:9df4d3d8-140a-878f-0883-cb5ad3c11032"
}, {
"reference": "urn:uuid:0371e827-044c-ae12-b7b7-7b7b7c08c40f"
}, {
"reference": "urn:uuid:4e409f3f-e006-70ad-24ca-7dc33cdd8565"
}, {
"reference": "urn:uuid:d56bfdeb-d210-513e-f374-63489aceb613"
}, {
"reference": "urn:uuid:df140519-394b-9e8e-0ac9-a821ff6de8ad"
}, {
"reference": "urn:uuid:f7b54f03-2cf0-333f-16fa-84510ab821a8"
}, {
"reference": "urn:uuid:e2838c5a-70f8-ee8e-8cbf-6a656fd31158"
}, {
"reference": "urn:uuid:844ccd58-ab2c-894e-5563-1aaa8a1ce145"
}, {
"reference": "urn:uuid:6652ad57-c911-2f8d-e2c7-6cb2f3d3c5cc"
}, {
"reference": "urn:uuid:7497da7e-f1b0-2cd8-0f3b-9ba8e77484a5"
}, {
"reference": "urn:uuid:13ecfa21-7b4c-8c84-5565-529f7a5304e2"
}, {
"reference": "urn:uuid:eade1ed2-0bc9-93ba-809f-7b355681cb8f"
}, {
"reference": "urn:uuid:48c190b6-a979-fddd-9d39-4ccca72e4370"
}, {
"reference": "urn:uuid:499ca2d2-72d9-20d9-ebc9-3d7630b9d0c6"
}, {
"reference": "urn:uuid:b2689253-24f1-d7bb-d10d-62622e21461c"
}, {
"reference": "urn:uuid:adf5b766-1405-ae9d-a01c-605665d5aa83"
}, {
"reference": "urn:uuid:52e3e2e9-5ed2-69fe-225f-5a82b0728f63"
}, {
"reference": "urn:uuid:c04b11b1-eec5-c051-7d02-b1ba317e89df"
}, {
"reference": "urn:uuid:18460110-d950-89da-074b-807deab55ef8"
}, {
"reference": "urn:uuid:dd09f7f4-0aeb-e535-03b2-e76c36e74dc0"
}, {
"reference": "urn:uuid:1507a18a-210a-eb77-e344-3b9e4d394bfa"
}, {
"reference": "urn:uuid:ebee3cde-a33d-8460-6e8a-232bf51e2f53"
}, {
"reference": "urn:uuid:16d81b2f-744f-0e98-422f-4e49ea7185b4"
}, {
"reference": "urn:uuid:964acb99-bfaa-a48e-5eab-4a12a56cb2c0"
}, {
"reference": "urn:uuid:538123ad-12d6-fceb-fc70-9bd90e3f8711"
}, {
"reference": "urn:uuid:ab3d4885-02ac-3fb1-ef96-7dcc7e6d9f8c"
}, {
"reference": "urn:uuid:6b453621-6058-1bec-b11f-cecfc0ba8565"
}, {
"reference": "urn:uuid:4ad1c5bd-8d92-6b25-c79b-6ff9a353dde3"
}, {
"reference": "urn:uuid:083468a2-46f6-27a8-0ece-306e121bc4a5"
}, {
"reference": "urn:uuid:b3e9223b-58e4-7c14-10fe-882dcb83effe"
}, {
"reference": "urn:uuid:22b3f998-ce50-d337-5e92-0497a8739ce1"
}, {
"reference": "urn:uuid:5aeaaea6-7f82-8d2f-7138-00856fda8400"
}, {
"reference": "urn:uuid:8e98d3d1-e8c4-e68c-3455-ac66b0bc478b"
}, {
"reference": "urn:uuid:d6acbaff-4d81-fad5-288d-6d445aede123"
}, {
"reference": "urn:uuid:ff8b1019-612f-2078-1ef3-46004a1d17d6"
}, {
"reference": "urn:uuid:63c3bb08-cc8a-fa3c-2662-5889d5791ff5"
}, {
"reference": "urn:uuid:e48932d6-f2d0-de9c-c294-31b1159a88d8"
}, {
"reference": "urn:uuid:b936ccb7-ff5d-746c-0688-aba857544583"
}, {
"reference": "urn:uuid:a3930951-d646-92cc-1285-297e73def853"
}, {
"reference": "urn:uuid:2869cf60-5b7a-8e8f-d2a5-eb41eea70b58"
}, {
"reference": "urn:uuid:2f5d5897-3f30-868d-bea9-e9935e106d75"
}, {
"reference": "urn:uuid:d100ca09-f1b7-10a6-cc04-2dd81d4fb31f"
}, {
"reference": "urn:uuid:2c3df7ca-b943-3ced-d52d-6ff6b4abc713"
}, {
"reference": "urn:uuid:0d3d2d39-509d-2ce5-5196-6280cc5e8cc0"
}, {
"reference": "urn:uuid:6d67f7e9-3ed8-e59c-0e38-f1cda77198d9"
}, {
"reference": "urn:uuid:983e8eb4-102c-f8b4-3c00-6aa7a044c54f"
}, {
"reference": "urn:uuid:083d2ede-a8a7-e3a5-9c09-240e491f4099"
}, {
"reference": "urn:uuid:dd22cf07-e554-e0cf-58d2-7e17901f6860"
}, {
"reference": "urn:uuid:6cf939e7-258d-6fdf-f71f-e2d69db96b47"
}, {
"reference": "urn:uuid:4299eebc-fde4-158b-a275-3316332b914c"
}, {
"reference": "urn:uuid:0c0bf466-0ad3-d6b2-de96-05d76a5cd156"
}, {
"reference": "urn:uuid:55d55f58-7d68-7c2e-b2da-b725180c3e81"
}, {
"reference": "urn:uuid:b471890b-48a6-956e-548b-651b4722d35b"
}, {
"reference": "urn:uuid:91c1af0c-0c33-de66-af07-387f2cf3eb5e"
}, {
"reference": "urn:uuid:01453369-fc7f-27c8-459e-68b1784087a3"
}, {
"reference": "urn:uuid:eff717a4-948e-bf17-faf5-f1c75e38faf5"
}, {
"reference": "urn:uuid:b8c429b1-a8b6-d848-d56d-8bc50b1a9a9b"
}, {
"reference": "urn:uuid:cfb379f3-b09f-be8e-79ef-a10726ca3b58"
}, {
"reference": "urn:uuid:efb1cf6d-67c1-ee81-d7b9-1785026bbf9c"
}, {
"reference": "urn:uuid:8fe74d0f-5350-4ec3-09ff-1b8617a74948"
}, {
"reference": "urn:uuid:b99a65b5-0151-a962-3c5a-1c3db3bc385a"
}, {
"reference": "urn:uuid:cdd8c6ba-44dc-dddd-2250-82d042912371"
}, {
"reference": "urn:uuid:fb831b32-8206-5661-a0dd-3c13294fad8a"
}, {
"reference": "urn:uuid:d9d45522-05e1-465a-2bb6-8d20ff749ad3"
}, {
"reference": "urn:uuid:c56b4153-c032-56a1-d4db-ca1f648763e2"
}, {
"reference": "urn:uuid:d16d5e7a-79c8-e90a-8b7c-bfb3bc4e451a"
}, {
"reference": "urn:uuid:183276cf-e8d2-a9f6-170c-9999930e8801"
}, {
"reference": "urn:uuid:1b076688-508a-c8c2-f9f7-be7f21a11613"
}, {
"reference": "urn:uuid:53dcbc94-be07-8974-fea5-5b86e32184f5"
}, {
"reference": "urn:uuid:5940bce0-ce4c-37fb-968c-a32e202d9d5e"
}, {
"reference": "urn:uuid:4c9732be-9870-eb9a-ebbd-7b4cc579de0c"
}, {
"reference": "urn:uuid:159638ef-95af-4cff-1bfd-2e2717977258"
}, {
"reference": "urn:uuid:666783f1-e385-a97a-32d5-8bd486b43892"
}, {
"reference": "urn:uuid:ad49cce4-5d94-d3bd-aa3f-c5e993df2a30"
}, {
"reference": "urn:uuid:625f7e18-93cb-405a-01cd-b86e13d049e5"
}, {
"reference": "urn:uuid:bf0225ac-4bf3-514f-9adc-480037b8af9a"
}, {
"reference": "urn:uuid:cb4c33b1-f812-227a-65cc-7ae118ca3cfc"
}, {
"reference": "urn:uuid:617531b9-2ba7-f9ac-c32e-b642d3473e49"
}, {
"reference": "urn:uuid:e7173c22-ac11-f9a4-324f-0ee4ee4d9e5f"
}, {
"reference": "urn:uuid:d7f1aba5-2a84-7387-73ed-0c8c592e2860"
}, {
"reference": "urn:uuid:df687826-a356-559b-ebbf-1b9dd7e5257f"
}, {
"reference": "urn:uuid:72653b91-f992-8f5f-1a88-650dfd2c57f2"
}, {
"reference": "urn:uuid:8c430d6f-6cfc-e40e-f616-1cae8a7e809c"
}, {
"reference": "urn:uuid:2c0a0cda-4750-5462-679e-9534aeb480fc"
}, {
"reference": "urn:uuid:e1409fba-5deb-cef6-70e2-9c8c8e8b2a27"
}, {
"reference": "urn:uuid:d0efb67e-2d05-649c-dbdc-ef38a2259059"
}, {
"reference": "urn:uuid:9cad3f1e-9b5b-2e9d-e69d-524ac14f70bb"
}, {
"reference": "urn:uuid:fb7cb2ac-6242-b191-a09e-6e8e105dfecb"
}, {
"reference": "urn:uuid:d5177b3d-724c-1f09-7cac-11b0b9e66b8c"
}, {
"reference": "urn:uuid:fe48bbfa-b377-ca2f-eb24-c71f5550316e"
}, {
"reference": "urn:uuid:edc79a1a-5750-8c87-9d32-29b83b1aa5f9"
}, {
"reference": "urn:uuid:9ccc854e-c661-dee1-42a8-01e813e2671b"
}, {
"reference": "urn:uuid:6fa6d975-d2cc-f00e-1676-d0677162166e"
}, {
"reference": "urn:uuid:5cd219c7-5d99-c527-1571-09b7ebbb7b90"
}, {
"reference": "urn:uuid:7dad5e06-2c80-8e0d-d6e2-a581ede06951"
}, {
"reference": "urn:uuid:bd48068f-9a07-fc5a-bc22-29594443da65"
}, {
"reference": "urn:uuid:7cdf7f68-dc07-7c4f-5916-04d0bcd5e521"
}, {
"reference": "urn:uuid:9394fd71-9623-2c7e-4364-96a6dda8fdc0"
}, {
"reference": "urn:uuid:7bc5d48d-1573-d9f1-c89b-ab55aa6e0f1d"
}, {
"reference": "urn:uuid:182cd238-5800-4583-4528-529687110275"
}, {
"reference": "urn:uuid:8e4957c2-e704-e349-7dc1-83be4f8f09f2"
}, {
"reference": "urn:uuid:85c864b0-1195-322b-defd-ac2bd2f50d6f"
}, {
"reference": "urn:uuid:d001ec86-9bb3-0879-b551-c9f684f35202"
}, {
"reference": "urn:uuid:c5ae1c3b-0905-838f-303d-27f14d8a0ab2"
}, {
"reference": "urn:uuid:0eb87888-4477-9785-54fb-bb7c088c1a8b"
}, {
"reference": "urn:uuid:801cbe03-16a4-4e5d-8e2a-6329686b20b1"
}, {
"reference": "urn:uuid:8d374581-5dc6-4f54-8453-809118773d58"
}, {
"reference": "urn:uuid:b9d05162-d03a-426a-0722-305328311381"
}, {
"reference": "urn:uuid:07fa10d6-eeff-e430-be82-c3417df766ef"
}, {
"reference": "urn:uuid:895ff4b7-c832-75d5-40e0-393e3d1cb86b"
}, {
"reference": "urn:uuid:164892c6-461c-86d9-d938-501637e9217c"
}, {
"reference": "urn:uuid:87091962-4d1b-bae5-7078-2d20896392fe"
}, {
"reference": "urn:uuid:00cd28f1-81a2-6137-30be-6f183f34f701"
}, {
"reference": "urn:uuid:064cb66d-0e3a-8a52-af33-28eab6913b66"
}, {
"reference": "urn:uuid:33cfd69b-7c8d-0234-017c-72288f21ded1"
}, {
"reference": "urn:uuid:decf4ace-eca8-8ff2-173f-d25c86e078da"
}, {
"reference": "urn:uuid:1f6f1b00-a33b-5df5-de30-0ef32895f126"
}, {
"reference": "urn:uuid:f73f1e89-0420-851d-0b71-6fbb46edca0f"
}, {
"reference": "urn:uuid:9bf29633-a140-aad0-fafb-567fdc50e9f6"
}, {
"reference": "urn:uuid:96b2c3fb-3e6a-b38a-1c69-09fde230c3aa"
}, {
"reference": "urn:uuid:13adbd30-ff29-9773-853d-6cffbfebbaaa"
}, {
"reference": "urn:uuid:a91c9608-990f-7910-04ed-2965b8215fa4"
}, {
"reference": "urn:uuid:0a846a2d-b318-de61-9a35-3f63167d0718"
}, {
"reference": "urn:uuid:de71a41a-a130-f59e-3e61-07a21817f56b"
}, {
"reference": "urn:uuid:e4952a70-8504-77ed-2b5d-3b0d4a0ffa35"
}, {
"reference": "urn:uuid:0f57af33-6189-c5e2-aa7c-4d0eb68a47e0"
}, {
"reference": "urn:uuid:ba858db5-54b1-7897-a9f9-d57bb7544987"
}, {
"reference": "urn:uuid:b87c2f93-d798-fac2-38d4-1f480e1f5807"
}, {
"reference": "urn:uuid:af4dcf03-cb68-a554-549b-8c5f93314e2d"
}, {
"reference": "urn:uuid:4f6d545c-7c51-f219-ff5a-f68916f5aff9"
}, {
"reference": "urn:uuid:edbc45d7-d670-5131-0bab-4b574381b607"
}, {
"reference": "urn:uuid:c52cfa97-f1c0-fa64-7c3e-baac0ded073f"
}, {
"reference": "urn:uuid:ffe73ed7-9ce7-04d4-7829-093b833456b6"
}, {
"reference": "urn:uuid:5807029f-0400-659e-a94b-38ee2cffb417"
}, {
"reference": "urn:uuid:59aeb18f-f217-a0fb-1965-3a325ca6987e"
}, {
"reference": "urn:uuid:5762c83f-24c1-e4d2-cf1e-de3cd9077826"
}, {
"reference": "urn:uuid:533d2adf-3809-c402-4b67-ae31253acef4"
}, {
"reference": "urn:uuid:a4bd31c6-9401-674f-79db-495f87e3f5b4"
}, {
"reference": "urn:uuid:37a61e61-13e2-b41c-8e1c-843cf0a6d732"
}, {
"reference": "urn:uuid:d1d66e04-65e1-f2fd-8dec-6bb8ab754775"
}, {
"reference": "urn:uuid:7529b956-1efd-9cd8-0fcd-7736ceeb3f05"
}, {
"reference": "urn:uuid:aa2a4b34-b3a1-ca20-0289-a9e8c8e413a5"
}, {
"reference": "urn:uuid:831fc912-7cc6-9e5e-d798-279a58d4d7f1"
}, {
"reference": "urn:uuid:7f829963-e01c-77c3-8d56-3926ee464e9b"
}, {
"reference": "urn:uuid:bd4d92fe-ad55-741b-a723-b6700c8dc789"
}, {
"reference": "urn:uuid:273f0439-30c6-ab9c-c6f8-c4d04f31a7f6"
}, {
"reference": "urn:uuid:5621b5cc-db79-29bb-96fb-bc709db5677f"
}, {
"reference": "urn:uuid:1caaee2f-96ce-3309-59c8-760355618caa"
}, {
"reference": "urn:uuid:121430da-98e3-6ecf-4146-0a0041480c9d"
}, {
"reference": "urn:uuid:63833a5a-9bf8-a15c-97a5-ab3a89d5d75c"
}, {
"reference": "urn:uuid:3ec7e82a-5466-7ebf-910f-f32b69b5a3e1"
}, {
"reference": "urn:uuid:61d0cf4c-bb56-4064-c512-f71fc03fb1b4"
}, {
"reference": "urn:uuid:c9112bfc-9199-84e6-62a3-2a8bd774d950"
}, {
"reference": "urn:uuid:04fc42ed-7eeb-f70a-006b-16ca881a25f9"
}, {
"reference": "urn:uuid:7e0c2e6a-2c82-e47a-5ae9-76364ca18c10"
}, {
"reference": "urn:uuid:f36cf5e2-589f-1618-1327-16d5647fe06f"
}, {
"reference": "urn:uuid:c107d89f-50b8-629e-6c91-0383f65bfad0"
}, {
"reference": "urn:uuid:63229c40-ef42-e293-a7f3-3bcff6ebd1cb"
}, {
"reference": "urn:uuid:7d44e94a-f7d0-934e-b922-f449d1f35cf8"
}, {
"reference": "urn:uuid:5aeb78c1-7b00-1e7b-7138-caa06b58154c"
}, {
"reference": "urn:uuid:28b66ab9-9785-7c7e-900e-d90cea6706e1"
}, {
"reference": "urn:uuid:a598a37e-3c7e-f60a-ed65-3e21ff73fb2f"
}, {
"reference": "urn:uuid:ea1a9207-00c2-e83f-546d-39f2f50c5184"
}, {
"reference": "urn:uuid:d587f452-fdc1-eaac-9f32-303108c0c4cf"
}, {
"reference": "urn:uuid:d6123add-caf0-8fa3-cce3-512b1ccf7ffb"
}, {
"reference": "urn:uuid:f3b094c1-5722-fcf0-7074-ab61bb052aa0"
}, {
"reference": "urn:uuid:96127bbd-f29f-f9bc-5fbc-b7ed489442d9"
}, {
"reference": "urn:uuid:1b14dacd-23dc-a621-320d-1aac1e84b4b0"
}, {
"reference": "urn:uuid:f448f7e6-e337-3034-32a7-e1c9bcbfcf0d"
}, {
"reference": "urn:uuid:8c67fd00-a3a9-26e4-b864-3be9c8529489"
}, {
"reference": "urn:uuid:153047a6-49a6-4b4f-9308-ab9ac518e209"
}, {
"reference": "urn:uuid:8a3a17f3-1949-7b70-8134-1bc7ae1c8eb4"
}, {
"reference": "urn:uuid:944e7834-311b-107f-2b02-bc69b8ffa302"
}, {
"reference": "urn:uuid:bdc29fc5-ef6b-f841-96e3-5a666af0de12"
}, {
"reference": "urn:uuid:1360a5d6-39ad-143c-061a-1fb64d43292f"
}, {
"reference": "urn:uuid:1b249b32-c092-8b22-fa4f-76ecbe0662dd"
}, {
"reference": "urn:uuid:2752a28b-8539-76b3-96da-5c5f55e036ce"
}, {
"reference": "urn:uuid:d10c259f-5f4f-5cf7-ee8b-35f58bc869a7"
}, {
"reference": "urn:uuid:fea1265a-adb5-b349-1ee6-c4438f01cff4"
}, {
"reference": "urn:uuid:eb777fba-bcc9-8f5e-37d0-e081c714c005"
}, {
"reference": "urn:uuid:56d3b63f-0f2a-5eb1-79cd-5750a3c1541e"
}, {
"reference": "urn:uuid:7d94ada2-dcc3-e96f-a34a-851a0bc82954"
}, {
"reference": "urn:uuid:b0b539fd-b133-28a2-f6af-f4ae70395746"
}, {
"reference": "urn:uuid:37c368b0-dc82-9b11-194a-ca3daf8a1f07"
}, {
"reference": "urn:uuid:a4e4134a-defb-e8b8-4844-af7a9f350c57"
}, {
"reference": "urn:uuid:bf4819f0-3f0c-c2d1-9e38-71e710231023"
}, {
"reference": "urn:uuid:117be7c4-fe7d-b7df-c3e6-76bc813d6e67"
}, {
"reference": "urn:uuid:251f01b4-d211-33a7-df99-19f6d6a61179"
}, {
"reference": "urn:uuid:61fbcec4-94c7-1a15-c454-65415e715644"
}, {
"reference": "urn:uuid:5244f879-5c94-8735-cb1e-0d0b3eed9d6a"
}, {
"reference": "urn:uuid:6c9bba5b-2415-4fba-fff0-32173a1303ff"
}, {
"reference": "urn:uuid:37f77cbe-f685-e88c-2599-a9599a43c93c"
}, {
"reference": "urn:uuid:ba433222-b152-3561-72ed-bd62b5f8fdbd"
}, {
"reference": "urn:uuid:dabc76bd-0232-db5c-da0d-da56377a6149"
}, {
"reference": "urn:uuid:39169aaa-aab2-d223-a138-960c8b537abe"
}, {
"reference": "urn:uuid:ff0863fd-27d6-8819-8317-a99184de3c01"
}, {
"reference": "urn:uuid:277496ca-f68c-8b34-2efb-5162020ae612"
}, {
"reference": "urn:uuid:40acc101-468b-eec1-d223-c9ead85a03a2"
}, {
"reference": "urn:uuid:fe29169d-fc13-3c98-d487-6f40935b88e9"
}, {
"reference": "urn:uuid:f589e846-3761-72f3-feeb-3e2070238d85"
}, {
"reference": "urn:uuid:289f4e4a-15dd-13d7-c89a-052a28a8d6c2"
}, {
"reference": "urn:uuid:b353ef01-8efa-1c18-5e3e-bd1506e2d664"
}, {
"reference": "urn:uuid:0958b2a8-b3e7-c318-9d99-421f5b945c7d"
}, {
"reference": "urn:uuid:7d0318b8-c550-774e-9b26-e74f15fa55ca"
}, {
"reference": "urn:uuid:8e99de83-e31e-9e30-e0b5-9a5186e72dd5"
}, {
"reference": "urn:uuid:37ca3309-c50f-545c-98a2-aefba70013bd"
}, {
"reference": "urn:uuid:af8099ce-6e5f-bac5-31ce-2d8bfc035b71"
}, {
"reference": "urn:uuid:173bbbac-fd8c-c149-61e7-b88129f9dd09"
}, {
"reference": "urn:uuid:56d9db77-aa52-d804-a246-00ce29d93411"
}, {
"reference": "urn:uuid:7fabbaae-5451-97bf-633a-16a707aa90f4"
}, {
"reference": "urn:uuid:1bb8a72b-81e1-56cc-7951-9e5e9209bc50"
}, {
"reference": "urn:uuid:b40ca216-a799-8eb9-2c76-c4552a296aa7"
}, {
"reference": "urn:uuid:8ca07814-d51a-73c0-979f-52379ec4af9e"
}, {
"reference": "urn:uuid:782e481a-ca7d-7cd8-ca0d-3872c14e9325"
}, {
"reference": "urn:uuid:9e9d867f-53e2-7d07-124b-63e602f3d0c7"
}, {
"reference": "urn:uuid:92ca9cb0-9305-7ddd-e742-fb9950b67770"
}, {
"reference": "urn:uuid:a7d30b03-9ae2-431d-7fda-9ff6c91693b7"
}, {
"reference": "urn:uuid:93989431-2d95-f1ea-6dbb-5ddb6973fce9"
}, {
"reference": "urn:uuid:f7451b59-9ae7-ff43-e79d-122ab1355122"
}, {
"reference": "urn:uuid:2e944bc5-e854-8a96-6ceb-73762c4c7b1c"
}, {
"reference": "urn:uuid:0182a423-3a99-162f-33ed-332f19194976"
}, {
"reference": "urn:uuid:be203acb-a70f-e907-dec2-b2f6e0259353"
}, {
"reference": "urn:uuid:5c0b103c-1e85-5779-bc65-ce8c5330d075"
}, {
"reference": "urn:uuid:88ebe926-6e41-a871-9c1b-40949940db6e"
}, {
"reference": "urn:uuid:9bc5efda-e70b-3494-e870-d62244fdc87b"
}, {
"reference": "urn:uuid:cd00faf0-158e-9d41-0dc6-6db3dd7258f6"
}, {
"reference": "urn:uuid:d278b822-8d11-fc5d-c538-e60fa56e0ce4"
}, {
"reference": "urn:uuid:31d0ea9f-c3da-da63-7f24-6f9b7fbe340a"
}, {
"reference": "urn:uuid:d4048e73-95e4-3232-d29a-499c44441a4b"
}, {
"reference": "urn:uuid:9ea4782b-ba54-30d7-8577-a61cc742a9e5"
}, {
"reference": "urn:uuid:71f39f78-9896-457c-557b-4e595eb60664"
}, {
"reference": "urn:uuid:6d3a98b0-2bfe-4b4e-c570-5c4fec4b27b3"
}, {
"reference": "urn:uuid:1a552c29-2de5-64f8-ebf2-59ae7378c5c5"
}, {
"reference": "urn:uuid:f6ee9163-e23a-fb36-5acb-bb78c67ab5ad"
}, {
"reference": "urn:uuid:ded5d15c-2102-0bb0-cd3e-f51a2352f02b"
}, {
"reference": "urn:uuid:d8eee36d-c2ef-404f-cacf-9da304597450"
}, {
"reference": "urn:uuid:7bc3bc8f-abda-a8d6-05fe-1e83f371da7b"
}, {
"reference": "urn:uuid:ffb1e89e-d238-b5e6-b3f7-7bf349f4cbe4"
}, {
"reference": "urn:uuid:591ac577-3cce-e917-39ca-b31969698cd5"
}, {
"reference": "urn:uuid:a5efda51-b455-7ce4-70a6-dc153d52db09"
}, {
"reference": "urn:uuid:4c7c51f1-578a-c8fb-d9ba-b6c675a28c2d"
}, {
"reference": "urn:uuid:cc3298aa-8b2c-002a-d5c6-e3c89f32afa4"
}, {
"reference": "urn:uuid:e23af20f-428e-56cf-cb54-a82f530956f2"
}, {
"reference": "urn:uuid:598ca476-a2d8-e7a9-292a-6dc7ebdcf0ca"
}, {
"reference": "urn:uuid:503c4df4-70c6-ce79-c540-35dc338c621d"
}, {
"reference": "urn:uuid:cb5857cc-2e7d-1222-67a3-812f736b8390"
}, {
"reference": "urn:uuid:d746d9df-ca66-a57c-bb12-72db80cdc878"
}, {
"reference": "urn:uuid:b6358ffc-85e4-b5ec-0387-717af2f7f9d3"
}, {
"reference": "urn:uuid:aaccd227-94ff-e743-7be3-1f7973f03f3a"
}, {
"reference": "urn:uuid:7ce8533d-0139-011e-ffa8-09c5b3a39015"
}, {
"reference": "urn:uuid:a561d0d3-b229-783e-5948-ce34390c0560"
}, {
"reference": "urn:uuid:febc9b30-0134-0a74-cff0-d994d652225b"
}, {
"reference": "urn:uuid:4d7803a1-84b7-1732-d340-d62d558c10b9"
}, {
"reference": "urn:uuid:c192080d-b249-396d-b1b3-b80a97ed13ac"
}, {
"reference": "urn:uuid:968e34e4-bd32-ffa1-ba34-306e0e9bcc99"
}, {
"reference": "urn:uuid:45790eb8-b748-0117-5913-3d62abdfd16a"
}, {
"reference": "urn:uuid:ee1df825-11dd-126f-f50d-321f5bc2f255"
}, {
"reference": "urn:uuid:9efba7be-d45a-82db-273e-08580a9405de"
}, {
"reference": "urn:uuid:f578d0f5-a009-2001-8729-b90eebac1322"
}, {
"reference": "urn:uuid:08d12fb7-ad11-3e5d-0421-71d351ac8e60"
}, {
"reference": "urn:uuid:63454422-8691-303a-32de-796a0c9b17de"
}, {
"reference": "urn:uuid:5a9993e7-bde0-d257-9677-9ee698039c01"
}, {
"reference": "urn:uuid:dcefa99d-e455-04ab-f33c-fb7cd4acfb7c"
}, {
"reference": "urn:uuid:b1dd0492-2bef-89d5-6e83-3a6aaafa3f58"
}, {
"reference": "urn:uuid:4819e26c-9ce9-a08f-ca93-cb608336f270"
}, {
"reference": "urn:uuid:884569bd-c94b-7f43-4bb3-d687ae2362ce"
}, {
"reference": "urn:uuid:42f1ead6-af4b-7833-8385-2832bf470c89"
}, {
"reference": "urn:uuid:0ab48172-7b29-7122-b4a4-8184eefe324a"
}, {
"reference": "urn:uuid:21995702-1f33-2008-32a4-8b8d13c6e9dd"
}, {
"reference": "urn:uuid:521654c8-7653-9d4e-e5de-24c42c667532"
}, {
"reference": "urn:uuid:f92a4e35-8589-0ea9-3a8f-ed39dc3ac407"
}, {
"reference": "urn:uuid:f4eea682-93f4-fed1-92c0-108cd9f89fa0"
}, {
"reference": "urn:uuid:0c7b929f-04eb-a0a9-48bb-2783ee1f1bdd"
}, {
"reference": "urn:uuid:0a8aa1b2-90ab-4e20-fb2d-5f82528eccb9"
}, {
"reference": "urn:uuid:169b6238-66bd-c727-6472-6a217402505e"
}, {
"reference": "urn:uuid:cd9cdb3b-423e-7d17-b1c0-3ecb98947129"
}, {
"reference": "urn:uuid:9793c9ab-4eed-7e0e-0422-a4b6c828f90b"
}, {
"reference": "urn:uuid:20a8183d-7616-3144-d294-d593d711b7e7"
}, {
"reference": "urn:uuid:652c381e-cae5-4f6e-1571-b996c9f561e4"
}, {
"reference": "urn:uuid:c4b2e7b2-59ad-cd5c-c318-fb9f3e8ef5ac"
}, {
"reference": "urn:uuid:3b415323-0549-deee-fa1d-ed5116c01cc5"
}, {
"reference": "urn:uuid:d08d34b4-fdd9-923f-17be-e418021a2f5b"
}, {
"reference": "urn:uuid:2cdd3bce-2fb3-54cf-47d6-cba8e4046110"
}, {
"reference": "urn:uuid:96700398-a8e8-5167-748f-b42e3c491ba5"
}, {
"reference": "urn:uuid:08727778-eb21-f8f1-f786-d867750f5e32"
}, {
"reference": "urn:uuid:8ab5115d-7dd6-5435-5dd1-b4cafa238ac9"
}, {
"reference": "urn:uuid:73b99986-7843-0d6b-51cf-5e269ed5e14c"
}, {
"reference": "urn:uuid:a18b71dd-3ef3-0041-7749-fa251e57435e"
}, {
"reference": "urn:uuid:52030a05-8adb-aae0-7157-86073e5c1fc8"
}, {
"reference": "urn:uuid:fcf3488d-9d6f-a740-32a4-2304e552321f"
}, {
"reference": "urn:uuid:b5cc6a71-b22d-23cd-79c6-eea69c5b14ff"
}, {
"reference": "urn:uuid:3e117408-80e0-9449-3ccf-a909d1f6c0d0"
}, {
"reference": "urn:uuid:e05a1580-0e79-0e7c-cd2e-f4b279081a96"
}, {
"reference": "urn:uuid:d53a419c-1ae9-6ce0-012e-261611a8ce6a"
}, {
"reference": "urn:uuid:ea503393-2d7d-7201-28f1-8fa818c5564b"
}, {
"reference": "urn:uuid:ea91629f-c2e5-5ed8-675b-0cdbf34d122c"
}, {
"reference": "urn:uuid:1f82056a-844a-eebf-b054-aff3a0116084"
}, {
"reference": "urn:uuid:dc955e63-5a54-5672-55e3-653c02c4b310"
}, {
"reference": "urn:uuid:cbe0b065-74e8-6363-b244-0761afe6fa60"
}, {
"reference": "urn:uuid:16539b5e-f036-0e8f-c08f-cbc6a3898b58"
}, {
"reference": "urn:uuid:c40f6290-8acb-c20b-99a7-a1d7a394f4b0"
}, {
"reference": "urn:uuid:b355f9c8-1c78-c2ec-00a7-d8b8746f9403"
}, {
"reference": "urn:uuid:fbfe10f6-be92-fe91-b286-c3614d8a8151"
}, {
"reference": "urn:uuid:2bdd1461-36bd-ff52-34ac-d8a03383d2e5"
}, {
"reference": "urn:uuid:c9312c6d-66c1-fd62-10b7-3963d1319698"
}, {
"reference": "urn:uuid:61243cc0-61f0-d9a4-f081-062165995f26"
}, {
"reference": "urn:uuid:25d36276-08de-2e7a-5e7a-9c6b7c336555"
}, {
"reference": "urn:uuid:1f4f2413-8527-b883-3c4e-3e637a1ba3bb"
}, {
"reference": "urn:uuid:9a8a0926-d39a-9c60-aa7e-7e7a4d096980"
}, {
"reference": "urn:uuid:db43cf2a-9950-8287-f38a-f8ad57b557a5"
}, {
"reference": "urn:uuid:4364ab39-b121-e655-bb20-c137656779a9"
}, {
"reference": "urn:uuid:bcd7ad6d-08c5-5b02-e972-512ae97548a4"
}, {
"reference": "urn:uuid:d3f7fb42-e8ae-5aa5-7589-d1a78106e002"
}, {
"reference": "urn:uuid:6bf62d4d-fe2b-a07a-ff4a-a5af1ad1ab73"
}, {
"reference": "urn:uuid:b173306b-b70f-d9f5-8a81-020952f12d38"
}, {
"reference": "urn:uuid:d64bce49-d8e2-2025-0d35-b6ea6e4fc010"
}, {
"reference": "urn:uuid:de0f3089-afc0-7a65-4d76-ca45d966178a"
}, {
"reference": "urn:uuid:bebaa9c9-ddf0-74f3-69b3-7a59b5090471"
}, {
"reference": "urn:uuid:f67472ec-bf25-4767-fbd6-584058c97d4c"
}, {
"reference": "urn:uuid:77c81c88-1150-3da1-9013-4524dfb512bf"
}, {
"reference": "urn:uuid:7a6c668f-6bee-0459-cba6-0359162a34ef"
}, {
"reference": "urn:uuid:134faca0-7c25-b970-45e3-c44bf931db59"
}, {
"reference": "urn:uuid:f3cacf3d-52a7-4e3c-c4e1-1c8f3197a633"
}, {
"reference": "urn:uuid:d8201d85-0145-9d03-5adf-d40db3b02bfb"
}, {
"reference": "urn:uuid:d56017f7-1863-ccc8-bcd5-731454c87cd6"
}, {
"reference": "urn:uuid:95acb049-6344-9c8c-5f56-ec79f995d629"
}, {
"reference": "urn:uuid:13ff3ed8-ac0a-3dac-de42-908627a1d3a4"
}, {
"reference": "urn:uuid:f08b4d6c-e331-2e5e-c80f-f709919dfc9e"
}, {
"reference": "urn:uuid:beef96ef-3a0a-c5ef-9ddf-eee60b211341"
}, {
"reference": "urn:uuid:0191d7ad-3a65-afb7-b3fc-66a4bd25663f"
}, {
"reference": "urn:uuid:aa7a0f3a-8993-f134-0f18-158d5a64f014"
}, {
"reference": "urn:uuid:f0fa9ffd-e950-a83d-0968-6932a7b57d5c"
}, {
"reference": "urn:uuid:32da40c3-c427-7631-76a3-9a2f341bff6b"
}, {
"reference": "urn:uuid:bee11646-9ced-eea2-39a2-3b6d7626354b"
}, {
"reference": "urn:uuid:51fbd2c1-0480-475f-497e-92778d32b1ee"
}, {
"reference": "urn:uuid:eb213055-cc07-b759-7e75-a811e2056b9f"
}, {
"reference": "urn:uuid:6151aeda-fb38-0dbb-9414-71b5d6cf9afc"
}, {
"reference": "urn:uuid:db37cee5-8e81-9ef4-01e0-bfaa31c8d4e7"
}, {
"reference": "urn:uuid:5fed79e7-22bc-9f37-4288-1d8ec6d06434"
}, {
"reference": "urn:uuid:80469964-9c0e-c007-033c-addbcf4584d0"
}, {
"reference": "urn:uuid:ad43ae8c-0051-eeb0-3925-62a5947799ed"
}, {
"reference": "urn:uuid:94dc9382-e727-2d3a-464e-f351f019c258"
}, {
"reference": "urn:uuid:f85e36d0-18c0-7850-efac-a2b1adf04404"
}, {
"reference": "urn:uuid:ea93ee49-2a05-2268-d372-496d85408a4a"
}, {
"reference": "urn:uuid:1dcaf461-2c1d-2dc2-41ce-6524e428e0af"
}, {
"reference": "urn:uuid:0360f94c-a3b7-695f-2bd6-5a1be520d85e"
}, {
"reference": "urn:uuid:2f12766f-caed-a3ab-1a8f-6cb78909d85a"
}, {
"reference": "urn:uuid:040d2c6c-e804-d942-c522-8ab2377e5a27"
}, {
"reference": "urn:uuid:9f5c2ace-7046-a7d6-458b-63a5742fd410"
}, {
"reference": "urn:uuid:1af74c97-1348-02a4-0eb3-52a1a5f6428b"
}, {
"reference": "urn:uuid:fe9dd955-1b9a-c082-c4d0-011421a9f298"
}, {
"reference": "urn:uuid:e9e8f4a6-8eab-f864-ffda-5649b6240d77"
}, {
"reference": "urn:uuid:9c9ee046-094c-a929-7761-84f5a2e10f9b"
}, {
"reference": "urn:uuid:c4415bed-97fe-3332-e258-fef11a97dcd6"
}, {
"reference": "urn:uuid:e30af6b3-9321-07b8-67ea-d6b8509d205c"
}, {
"reference": "urn:uuid:9ababfd3-88be-2251-8275-5e06c4f9eae8"
}, {
"reference": "urn:uuid:6cc6b354-8b1b-b168-569e-ee83009b0a56"
}, {
"reference": "urn:uuid:28486d48-91ec-fbcb-a14c-018207a67b68"
}, {
"reference": "urn:uuid:5549b913-1838-3220-7eaa-d4dda71e55d3"
}, {
"reference": "urn:uuid:7bc400ed-ccdd-2352-2f1a-bdc0b51bf689"
}, {
"reference": "urn:uuid:f63f714a-2f5d-dc3c-d690-70120f64b170"
}, {
"reference": "urn:uuid:f9eac365-e621-e641-724f-4e18371b7996"
}, {
"reference": "urn:uuid:3f624220-6bc4-10f2-1784-dc6311efab31"
}, {
"reference": "urn:uuid:cf228154-ffd7-d3f1-e14c-1eb149d4c9ab"
}, {
"reference": "urn:uuid:0496b458-7bfe-54ff-5a29-3c2516a21823"
}, {
"reference": "urn:uuid:67f0f46d-21fc-9395-9b13-d15de2f36e9e"
}, {
"reference": "urn:uuid:277b4c2a-3176-6eef-470e-a37849328aa3"
}, {
"reference": "urn:uuid:bead2de0-4d17-c3e9-70fe-2773a1902874"
}, {
"reference": "urn:uuid:74cc8f41-52ba-6b5c-e6b6-fa8e66bb8a50"
}, {
"reference": "urn:uuid:d00174eb-1e40-b8eb-d5a0-6b4ccb6950f9"
}, {
"reference": "urn:uuid:b9c56f77-41d4-d26a-0717-51096c9e1651"
}, {
"reference": "urn:uuid:e2c02cc1-33f8-557c-8697-4f9dba99f2b0"
}, {
"reference": "urn:uuid:1796f596-f456-562f-5c12-224b3b0b9265"
}, {
"reference": "urn:uuid:836de7ba-8825-b365-2653-7548802dfdae"
}, {
"reference": "urn:uuid:7cbc003a-ecc5-e401-6c34-2c3655500aaa"
}, {
"reference": "urn:uuid:85b9254b-3ed8-f259-deee-6cc70038cd9d"
}, {
"reference": "urn:uuid:41dec413-7a85-5bb7-0a40-930519ea40ee"
}, {
"reference": "urn:uuid:2ba778be-85cb-9f39-be2f-4559298ec38e"
}, {
"reference": "urn:uuid:77bf7e16-c7cb-7ded-71f1-9de3444529ad"
}, {
"reference": "urn:uuid:e7452716-e4a3-607d-861f-f8e1fd61a751"
}, {
"reference": "urn:uuid:32301224-e224-bd1c-b91a-927502d026ec"
}, {
"reference": "urn:uuid:581edad7-5fc1-6149-4a65-f7bab307a385"
}, {
"reference": "urn:uuid:6f6c0c17-17e9-c20a-6572-41ac1ffa633e"
}, {
"reference": "urn:uuid:6ce8e960-f5ce-bec8-da66-798ce627954f"
}, {
"reference": "urn:uuid:b42d5cb2-a248-3621-3df3-72520b17dcdd"
}, {
"reference": "urn:uuid:0f571ac6-2a6c-b7c1-1cda-9684cb3cc0bc"
}, {
"reference": "urn:uuid:b91a733b-190f-a1d4-d36b-3ed7fa9e3e24"
}, {
"reference": "urn:uuid:a6c69966-826f-ef42-519c-f16e9e1e8e59"
}, {
"reference": "urn:uuid:132ba825-e355-0e84-67d8-535d69faba33"
}, {
"reference": "urn:uuid:25be9222-01c3-1519-19e8-737701f47665"
}, {
"reference": "urn:uuid:38e0d94e-f90e-706b-05f1-3a93e8ca35e5"
}, {
"reference": "urn:uuid:1889a07b-d166-c5a4-05f7-fdf06da92982"
}, {
"reference": "urn:uuid:33c4de11-542b-526f-f09f-790ef5d3a76c"
}, {
"reference": "urn:uuid:9ad159bd-ee65-f46a-8842-3d9b0a4bed42"
}, {
"reference": "urn:uuid:a7b41336-a2c3-016c-96d3-c08a3d7443bc"
}, {
"reference": "urn:uuid:b5e778bf-0272-7977-8651-a556a6136a8f"
}, {
"reference": "urn:uuid:1d9cfd3f-f202-2526-1672-97a1fcf97ef6"
}, {
"reference": "urn:uuid:7c47da0e-3cc1-e4cf-f4ad-bb3773bb7823"
}, {
"reference": "urn:uuid:1616c622-9d02-d4e6-3a85-26f81ee238c9"
}, {
"reference": "urn:uuid:ff14e2cf-eb3a-a6cc-448d-371e32da4c83"
}, {
"reference": "urn:uuid:85b3a1ec-1199-ca81-1ee8-e9726fac5df1"
}, {
"reference": "urn:uuid:4c24f480-4886-01ad-1449-925c7841b32b"
}, {
"reference": "urn:uuid:30f633ec-dbad-bac0-c163-484c8f998291"
}, {
"reference": "urn:uuid:e0c7c8aa-246e-fcad-848a-f7b36e26c948"
}, {
"reference": "urn:uuid:5533a5f7-7b20-85d7-b7cf-7d7056e545d7"
}, {
"reference": "urn:uuid:87691b1a-5882-5a32-d34a-bf5ffd884c78"
}, {
"reference": "urn:uuid:cc674d90-0129-39fe-f18e-2cc26bb846ba"
}, {
"reference": "urn:uuid:33a11a7d-b7d7-b35a-e70e-de58405f62ae"
}, {
"reference": "urn:uuid:89f68bcf-46fb-9f3b-0618-d994bba480da"
}, {
"reference": "urn:uuid:9c171ea8-93c0-96d9-8974-026b1049ef6d"
}, {
"reference": "urn:uuid:d5ec3e99-d2cf-fd54-1d67-fff9ae14568a"
}, {
"reference": "urn:uuid:1a9216ea-38eb-876e-3d5b-c12616f68648"
}, {
"reference": "urn:uuid:9fe1cd55-485d-678f-194d-56f5310d1c8a"
}, {
"reference": "urn:uuid:e8122d0f-e69a-de5d-3c8a-92f10fd1d7f1"
}, {
"reference": "urn:uuid:101f76e4-5b14-dd96-8b5c-b96a0e61f9a1"
}, {
"reference": "urn:uuid:db0c8714-9810-4710-6b9d-6ffeaaa3abe3"
}, {
"reference": "urn:uuid:dc115b75-87e2-3839-7161-a2a0441ffcb1"
}, {
"reference": "urn:uuid:f0ad25f5-c761-b2ec-3e36-b467fa9bc953"
}, {
"reference": "urn:uuid:eaf42971-6dac-96a9-c951-c68b408935c0"
}, {
"reference": "urn:uuid:3e6bb788-423d-232a-c4ca-61877d165871"
}, {
"reference": "urn:uuid:0edd9cc4-ec7f-e1f2-b8dc-d79e21c76850"
}, {
"reference": "urn:uuid:a8d67e6d-3061-5f73-875f-53ebbd67c11a"
}, {
"reference": "urn:uuid:435af64a-56ce-fdeb-ec4a-6e7652378811"
}, {
"reference": "urn:uuid:6b454805-e891-29d1-af9e-7d4d645289ac"
}, {
"reference": "urn:uuid:21c1a164-4299-1075-6f08-3c577337de9b"
}, {
"reference": "urn:uuid:b14c78bc-d3d6-9f32-82f4-45577799ce87"
}, {
"reference": "urn:uuid:658b11a7-7bd3-7512-f950-4fcb8aba100f"
}, {
"reference": "urn:uuid:6b3dae74-1697-1d00-44b1-1eae58e8d37d"
}, {
"reference": "urn:uuid:6eb8fdec-626a-0284-8ec2-e465f55d8c0a"
}, {
"reference": "urn:uuid:ae374e53-ba48-1191-9334-81afd672043d"
}, {
"reference": "urn:uuid:f04f8f95-dd76-62bf-1c4a-f820041f5238"
}, {
"reference": "urn:uuid:0c2bbe59-976f-fd56-53a7-7fb972b4568b"
}, {
"reference": "urn:uuid:d287b579-8134-5033-8409-36d392c9d966"
}, {
"reference": "urn:uuid:dc4c281f-bded-46b4-02f5-18eba44c38a7"
}, {
"reference": "urn:uuid:0869ec3b-6c52-e63c-1b2e-0b2d6b98d6c2"
}, {
"reference": "urn:uuid:63b59d6e-c65c-63cf-471a-7244faf4115a"
}, {
"reference": "urn:uuid:d0015bdc-671c-f82a-ba39-fe8f6830b7bd"
}, {
"reference": "urn:uuid:1119860a-45c2-1a85-6823-5187a9205c23"
}, {
"reference": "urn:uuid:c91b0690-0e92-b90d-c4e1-903b74505bb0"
}, {
"reference": "urn:uuid:35af6cab-bdca-07e3-0276-ef294f3bff81"
}, {
"reference": "urn:uuid:9a3ceb2d-a068-ffcf-0af8-6e58592a02d7"
}, {
"reference": "urn:uuid:b3f50ca0-0c1e-46b5-4fda-ad204932f1bf"
}, {
"reference": "urn:uuid:c6ed18fd-b7a8-0703-1a0c-49a2c946c5ae"
}, {
"reference": "urn:uuid:3321d258-89ca-84a3-7fb1-5881c46c4879"
}, {
"reference": "urn:uuid:dd315e1d-4c1c-37a4-4b09-275c1178d9b4"
}, {
"reference": "urn:uuid:faae9b39-bed0-2631-dfa7-4b8cf0a30188"
}, {
"reference": "urn:uuid:90847a1e-cda3-1de5-29a5-87bae2707878"
}, {
"reference": "urn:uuid:bd2b7c50-5159-73c7-4169-f22e5261d353"
}, {
"reference": "urn:uuid:7a20c497-3823-4561-ff18-651a2fa5f252"
}, {
"reference": "urn:uuid:ef270c5f-556a-4c1c-4826-1910992d2bc1"
}, {
"reference": "urn:uuid:98036bfd-63c5-893f-cce3-14a0f96cc23b"
}, {
"reference": "urn:uuid:469f4bfb-c4a1-4c40-25d4-59c8226db6b3"
}, {
"reference": "urn:uuid:b6a0c837-582e-cef6-a98f-3664c61ed3d0"
}, {
"reference": "urn:uuid:d343fad2-0301-63a5-1e9d-6d73ff23164c"
}, {
"reference": "urn:uuid:968955b0-1db8-4c4c-4a94-eeb65d57b1c9"
}, {
"reference": "urn:uuid:a11abf4a-5676-47dc-65f1-ef5fec940b53"
}, {
"reference": "urn:uuid:19ad7894-e2c4-e429-0a79-830058b70ad2"
}, {
"reference": "urn:uuid:b0d67388-7791-e617-6bfb-959c5f189242"
}, {
"reference": "urn:uuid:38191f82-df16-9108-8979-559fc15b95fd"
}, {
"reference": "urn:uuid:0794d295-de33-1a54-1200-488804dc0b20"
}, {
"reference": "urn:uuid:84d90ad8-cdb4-4e84-ebd4-2e61aa256668"
}, {
"reference": "urn:uuid:4311d3ad-853a-65e8-c61e-ef3638d752c1"
}, {
"reference": "urn:uuid:a04fbd8f-f7d1-0efb-4707-1cb262601bbc"
}, {
"reference": "urn:uuid:ecaab3ba-a923-41ac-0f45-b8e9a8753056"
}, {
"reference": "urn:uuid:8b0cb9f7-b31c-368b-055f-01e8b8f92a7a"
}, {
"reference": "urn:uuid:7db53d7b-dd1b-ed11-16ea-85023d6f48c1"
}, {
"reference": "urn:uuid:839ac1b4-1c36-49d6-f848-c69c31e95b27"
}, {
"reference": "urn:uuid:058f2e1d-c39f-625c-f268-8888e7682982"
}, {
"reference": "urn:uuid:35e45320-b6bd-88c5-7b77-a79872d38679"
}, {
"reference": "urn:uuid:57d3a358-7f84-8025-07c1-45851a283e06"
}, {
"reference": "urn:uuid:c64f8548-6255-8c83-391d-0e0c0f1aa763"
}, {
"reference": "urn:uuid:7e92e590-0c03-8540-254a-44c276929201"
}, {
"reference": "urn:uuid:e6a51794-0f1a-58ac-fc62-37ff34ce53ea"
}, {
"reference": "urn:uuid:0963b53f-5d38-e08b-7225-a05a7fd58a02"
}, {
"reference": "urn:uuid:f54f75ad-9981-cdc5-bfd6-f46598ef6333"
}, {
"reference": "urn:uuid:859165c5-208a-9641-a0ac-1e98bad22120"
}, {
"reference": "urn:uuid:7cc75f72-d00a-c4c4-5e5f-bc62c3f11216"
}, {
"reference": "urn:uuid:95942b87-e4db-a083-f402-e0b5258e6492"
}, {
"reference": "urn:uuid:83ed4c8a-c8a8-368a-a142-46bb27870b99"
}, {
"reference": "urn:uuid:9d835cf1-2e2a-1b9d-157d-4f17d71ae7cc"
}, {
"reference": "urn:uuid:11604fa4-8c5b-977a-62f4-81c5657dd5d4"
}, {
"reference": "urn:uuid:d085c5e4-43b2-ff7a-0423-1c132c0f88f0"
}, {
"reference": "urn:uuid:3ecad26e-ea3a-fa55-32b1-1fc0cbd35745"
}, {
"reference": "urn:uuid:ea39da61-8d2f-596d-0f91-eb92624b118a"
}, {
"reference": "urn:uuid:3525de84-3ee9-9ba8-f647-b645a7be738d"
}, {
"reference": "urn:uuid:3136fd82-448e-5cb4-f106-96b78c14be27"
}, {
"reference": "urn:uuid:1db8e457-b106-fcd3-6f97-d4afa7d81320"
}, {
"reference": "urn:uuid:1e907a9f-dd40-6bbe-a742-e52ed4c32b74"
}, {
"reference": "urn:uuid:da3713b6-77f9-34d8-4e18-4500a9780e05"
}, {
"reference": "urn:uuid:858fe6ac-c263-a7fc-e27f-da930fb58994"
}, {
"reference": "urn:uuid:35bfcac2-3ad2-ee3b-69f5-54f4d2108b03"
}, {
"reference": "urn:uuid:275f4198-67ce-cff1-1dbd-2df1adfec143"
}, {
"reference": "urn:uuid:6e8ffd00-5dbe-5500-6e26-4ab287087f54"
}, {
"reference": "urn:uuid:876e73c8-61d6-677c-36fa-97e04982e42e"
}, {
"reference": "urn:uuid:be0a8070-dfd7-d854-cba3-a85c9c863858"
}, {
"reference": "urn:uuid:e6caf1d9-1c3d-0c43-6d36-1dd95a56418b"
}, {
"reference": "urn:uuid:c3c89ced-e40d-cb96-43d0-5f148cfe98fc"
}, {
"reference": "urn:uuid:cd215a5f-75de-6406-d2f5-ffbb06ab9349"
}, {
"reference": "urn:uuid:cbe281f1-a5e2-9507-87f8-7fa5eb75e97f"
}, {
"reference": "urn:uuid:6eb1616e-7f9d-06d8-0955-1f4f2f8aa905"
}, {
"reference": "urn:uuid:2e990031-c9ca-83bf-eafa-6dbd22c4613b"
}, {
"reference": "urn:uuid:1166dd3e-bfac-8003-c3d1-6c4b960376a0"
}, {
"reference": "urn:uuid:ff975578-288c-fcc1-e971-20d53b7bcb48"
}, {
"reference": "urn:uuid:93946d58-15c2-8dd5-862c-a7e60587fb8b"
}, {
"reference": "urn:uuid:eccb23fd-1787-04fb-83cb-71041ae9660f"
}, {
"reference": "urn:uuid:b6ca5c36-7b9b-e2d0-55d1-2c77d3d3b2a8"
}, {
"reference": "urn:uuid:5829ec51-4cb1-ffa2-f3c8-28a466f85620"
}, {
"reference": "urn:uuid:92067445-acc7-4ca7-8656-1383ee169f3b"
}, {
"reference": "urn:uuid:a76bb2b2-aa49-7a7f-cff9-7f7410abf274"
}, {
"reference": "urn:uuid:500c2ee5-c7a8-4829-eb5c-730bced526f3"
}, {
"reference": "urn:uuid:3e7eb46e-8dec-c5b9-80fa-7b4edab669bf"
}, {
"reference": "urn:uuid:0552add6-223b-68a0-01f0-af293981ced2"
}, {
"reference": "urn:uuid:8f54bc35-4652-c992-f062-847ea9a578c1"
}, {
"reference": "urn:uuid:e6d0cf5c-8593-393e-e4b0-417cfa60d0c2"
}, {
"reference": "urn:uuid:7408d709-3a7a-302f-3601-1554393ca3ae"
}, {
"reference": "urn:uuid:f1359c6c-beaa-04a8-4816-8d5162e59cdb"
}, {
"reference": "urn:uuid:86b7f0b7-037c-c517-531d-d502c1ae8192"
}, {
"reference": "urn:uuid:420ade84-b922-8d05-c5e7-cc068624e747"
}, {
"reference": "urn:uuid:cb2e7174-d7e6-3e8f-1757-72dcaaea3c82"
}, {
"reference": "urn:uuid:5751ad70-d33c-1cb9-1458-5b70d47734c6"
}, {
"reference": "urn:uuid:af13f42c-dd5c-2bf1-dd74-49497534f0d0"
}, {
"reference": "urn:uuid:a202ada4-bf62-94db-8cc5-32717e5802b8"
}, {
"reference": "urn:uuid:2fc5e2c8-7996-7829-f005-50e680c6a9f9"
}, {
"reference": "urn:uuid:e333a94f-9904-e2d7-d401-4044baf70980"
}, {
"reference": "urn:uuid:27667caa-29c5-95b5-b19b-2cfbfd0b397a"
}, {
"reference": "urn:uuid:839ed670-5f15-d5e4-be0d-2b4cd17774d3"
}, {
"reference": "urn:uuid:80ea7cb8-73a3-38d8-5572-495317666f34"
}, {
"reference": "urn:uuid:880fbe98-3e81-d3e8-19e0-52ea492e6fe0"
}, {
"reference": "urn:uuid:07db4f07-3b58-d641-fb0b-b591c9d6a4e9"
}, {
"reference": "urn:uuid:c73d3edd-993e-6a4d-d6d6-74251fab21f6"
}, {
"reference": "urn:uuid:623da71e-fcd4-c903-6e26-6a901f23cf64"
}, {
"reference": "urn:uuid:6bf87843-5e35-02b5-74b5-ecb78e78fbe7"
}, {
"reference": "urn:uuid:91ca10df-8331-fed4-e3e9-434a123ed843"
}, {
"reference": "urn:uuid:6676267b-9cff-5a68-7221-857ef62d1948"
}, {
"reference": "urn:uuid:91fad822-61bc-040d-7cd8-243948dc98c8"
}, {
"reference": "urn:uuid:f6d0f3b4-5845-1934-7292-538f9c9e4e7c"
}, {
"reference": "urn:uuid:d6386eca-fe56-7a5c-9fe2-aaa90955547f"
}, {
"reference": "urn:uuid:7988c0f9-937a-3596-c836-014de8c74c57"
}, {
"reference": "urn:uuid:b8d7bfd4-4e94-aec2-8572-639784f0834a"
}, {
"reference": "urn:uuid:a2226a6c-d971-4d96-d800-c7befef9b241"
}, {
"reference": "urn:uuid:439bd519-d599-2d6a-33ef-f082268b85c9"
}, {
"reference": "urn:uuid:5f8f00bd-545f-317f-04a2-065898b7c61f"
}, {
"reference": "urn:uuid:f02b4616-f36e-0803-e49e-7214c5bb590b"
}, {
"reference": "urn:uuid:9be1471f-6697-3ea7-88f8-01f8797911ca"
}, {
"reference": "urn:uuid:ed5b4f8a-c206-3584-fa71-4362d57c7a36"
}, {
"reference": "urn:uuid:9a6c037a-4639-ac37-71db-9b5d27b7efa4"
}, {
"reference": "urn:uuid:4df58647-c7d8-347e-07bf-c6b0d4e094e4"
}, {
"reference": "urn:uuid:1a9501d6-263e-875c-0db8-39bce00f69e1"
}, {
"reference": "urn:uuid:b0741c70-7b05-9439-5253-05b55b833391"
}, {
"reference": "urn:uuid:623d5cf0-379f-bfc5-07bc-2c3e46bc04d2"
}, {
"reference": "urn:uuid:7912e319-01dc-6483-b64e-cc8cdec4c5f5"
}, {
"reference": "urn:uuid:f0034cf2-86aa-6e0b-7b7f-dbef934a9aba"
}, {
"reference": "urn:uuid:9486058b-2912-57d4-3c45-95843355e9dd"
}, {
"reference": "urn:uuid:942de4b5-983e-43fb-2d8b-a080b48fa83d"
}, {
"reference": "urn:uuid:f2a14b6c-31b0-ae7f-ddee-527d7f384f6b"
}, {
"reference": "urn:uuid:dd5a25c0-bcb7-e539-97b7-bbc81857ceb8"
}, {
"reference": "urn:uuid:d7dfe28d-ffb5-b09e-a358-79d6893256a1"
}, {
"reference": "urn:uuid:6bb0644d-025f-9802-8525-e8dd6c423b03"
}, {
"reference": "urn:uuid:52155173-d4b4-9337-2401-e8e1dc98f78f"
}, {
"reference": "urn:uuid:88a43f57-b1ca-c7e1-f3e8-f24b422c692b"
}, {
"reference": "urn:uuid:ee148de7-f9f1-1f6e-f027-d52ebc17d52f"
}, {
"reference": "urn:uuid:23baa7fe-9277-8e7b-f614-998040414266"
}, {
"reference": "urn:uuid:016ccce7-16bc-2463-33d7-5bf41f7be3c2"
}, {
"reference": "urn:uuid:59fb00d0-2b62-ac26-fa0d-b26825eeef8a"
}, {
"reference": "urn:uuid:2f090d79-09c2-8109-32be-e1159df9eb31"
}, {
"reference": "urn:uuid:77d586ea-cf44-e543-68a6-12e6c5370bec"
}, {
"reference": "urn:uuid:e3dc5369-0a6b-548f-6439-a54f72a53441"
}, {
"reference": "urn:uuid:37b176fe-c240-40ca-bff6-a6b4af7aa3ea"
}, {
"reference": "urn:uuid:018102d2-16d3-d34f-33eb-91df1f9392ae"
}, {
"reference": "urn:uuid:feadee4b-63b8-02d5-b710-6aeea7941492"
}, {
"reference": "urn:uuid:93bab437-d75b-bd9d-2d26-920682587970"
}, {
"reference": "urn:uuid:48ec3add-a614-4f9b-40d8-212af7f5f0b3"
}, {
"reference": "urn:uuid:fbdfe839-3ef7-c477-2ceb-c63f9d4cb37b"
}, {
"reference": "urn:uuid:c76c7a9b-5e05-ee1b-f2d9-6f0e26f74ca8"
}, {
"reference": "urn:uuid:e5f71eb3-e53b-2af3-82c1-2b46764a9253"
}, {
"reference": "urn:uuid:401b5f8a-0ade-d8e2-4736-67bfde768dee"
}, {
"reference": "urn:uuid:f5a08422-ecfd-96b0-0dad-6789bc8bce9d"
}, {
"reference": "urn:uuid:4d600b30-0dae-de75-cccd-1c94e2cccd7a"
}, {
"reference": "urn:uuid:a315854e-5ec4-e43a-928d-b149c74f0ae3"
}, {
"reference": "urn:uuid:790f4fde-f7b1-722b-caac-f1ebaddcb9fd"
}, {
"reference": "urn:uuid:ba2dbacb-1e71-2a6a-077f-9c6c36691651"
}, {
"reference": "urn:uuid:ce709836-9959-94a0-6834-ac0a72e551e3"
}, {
"reference": "urn:uuid:b426cb61-ec4d-6524-edd1-68314bf56e70"
}, {
"reference": "urn:uuid:b9c5401e-00cf-daff-3ba8-2913c17ddcee"
}, {
"reference": "urn:uuid:19f1ebbd-634d-59f7-c1af-399bae4959e4"
}, {
"reference": "urn:uuid:cb6ddeef-2b01-1bbe-9924-79d2665291bd"
}, {
"reference": "urn:uuid:8410664e-751b-bea9-dcff-0072289fbfd2"
}, {
"reference": "urn:uuid:98a0367d-eb3a-a453-7ce6-bd46b88fed71"
}, {
"reference": "urn:uuid:7489c15b-884f-6fb2-4b3f-ff28cfe0d6e5"
}, {
"reference": "urn:uuid:8e9980ea-5553-25b6-698d-351e6e9c07df"
}, {
"reference": "urn:uuid:07766113-91a0-3024-bae4-24810a45d1c2"
}, {
"reference": "urn:uuid:8bdcf817-7ab6-c4f0-d562-a8bc7f496101"
}, {
"reference": "urn:uuid:6350356d-cb82-b432-b34f-0efd1fed1490"
}, {
"reference": "urn:uuid:776f1e8d-a893-a91a-c015-ffaa90529909"
}, {
"reference": "urn:uuid:905170ab-4cef-d251-7e6e-5f4016b5b18d"
}, {
"reference": "urn:uuid:2845a76c-afa2-3e5a-04c1-534b4b9008b0"
}, {
"reference": "urn:uuid:5029a8de-f2b7-93d7-b9d3-f27e8e775106"
}, {
"reference": "urn:uuid:3dea1501-6984-4ebc-910e-af1b87348036"
}, {
"reference": "urn:uuid:898b03bf-4806-22d4-d3d2-d12433525896"
}, {
"reference": "urn:uuid:25876639-b0f6-e12c-f91a-6a03d37794bf"
}, {
"reference": "urn:uuid:55949dc4-7408-2da0-db13-960f06f9c33e"
}, {
"reference": "urn:uuid:b854d1db-32b1-0892-63e2-5f4eddefb975"
}, {
"reference": "urn:uuid:3f6ffb9c-1603-0b19-a0df-37d960deb83c"
}, {
"reference": "urn:uuid:5368d8f3-adcc-5519-f78c-5ee8bcc905c9"
}, {
"reference": "urn:uuid:03554ca1-db64-9aec-bd95-9655f0f975ac"
}, {
"reference": "urn:uuid:7d498152-0429-1d4a-bc7e-fbec5213c131"
}, {
"reference": "urn:uuid:0084a529-4288-c275-2fdf-8add7cb0854d"
}, {
"reference": "urn:uuid:be10084f-4faa-a7b3-d6f3-fdde03292eef"
}, {
"reference": "urn:uuid:22ca8a42-95f4-543d-1428-092daa665927"
}, {
"reference": "urn:uuid:462a7f91-5f0e-a23c-04c8-84772fde5035"
}, {
"reference": "urn:uuid:24777b8a-2af8-5de7-2ece-612610083830"
}, {
"reference": "urn:uuid:dd119758-9b84-1b11-2116-42f4452b0e15"
}, {
"reference": "urn:uuid:8f4b9164-a0a9-dba3-8590-719a301088a2"
}, {
"reference": "urn:uuid:c20be82d-eb4f-c3e6-fbad-d00c86667b9a"
}, {
"reference": "urn:uuid:4f1065f9-ace0-f2af-6ae8-a3d9a4a080c7"
}, {
"reference": "urn:uuid:d8ba941c-ff68-5faa-8b12-20e4e1455e02"
}, {
"reference": "urn:uuid:226f2e69-1124-987d-a298-6308438f278a"
}, {
"reference": "urn:uuid:c621fd06-b9bc-945e-a4f9-cb74149bdfa6"
}, {
"reference": "urn:uuid:c9424a94-8d90-8f26-a678-877483ed6008"
}, {
"reference": "urn:uuid:5f7314a9-1ae4-2964-0f78-3b3d01317b46"
}, {
"reference": "urn:uuid:0ff1c2f5-84bd-292f-7684-636c460e25d0"
}, {
"reference": "urn:uuid:1ebf1748-3089-6a47-31bc-c1bcface0dec"
}, {
"reference": "urn:uuid:2b76c872-3231-93cd-2bc9-31b09706b1e8"
}, {
"reference": "urn:uuid:e6b9522a-6a75-60c8-072b-96960b0995df"
}, {
"reference": "urn:uuid:a4909f99-411d-46bb-e1a6-6dce9f9b652f"
}, {
"reference": "urn:uuid:ed7451b0-4c29-7ee1-56b2-b6856a447f34"
}, {
"reference": "urn:uuid:dfb0251a-0894-04ed-7e79-b81a7d7024af"
}, {
"reference": "urn:uuid:8f0c7bf0-cdc1-d127-6a01-460f41b11cdf"
}, {
"reference": "urn:uuid:5f96f75a-ef45-599b-881b-30a9fdb24f8d"
}, {
"reference": "urn:uuid:5985428d-f598-48ac-a45c-48062905eaa0"
}, {
"reference": "urn:uuid:4ed35427-e3dc-7a52-c665-58ad31381131"
}, {
"reference": "urn:uuid:d96ec164-bf90-030e-f46a-ca0246745839"
}, {
"reference": "urn:uuid:3bcba0af-053c-b070-b85f-b1d6368a5b2a"
}, {
"reference": "urn:uuid:b48e586e-87ba-e7d3-d214-2f3da1ebbced"
}, {
"reference": "urn:uuid:88d064e3-4c04-049d-a3f0-a1477b8f5c02"
}, {
"reference": "urn:uuid:acb1b841-354c-5f9f-1740-afc3f502e842"
}, {
"reference": "urn:uuid:12326844-6e6f-f71c-c677-fb98e62c0d19"
}, {
"reference": "urn:uuid:341d13d0-165f-1633-1254-d777b5d01259"
}, {
"reference": "urn:uuid:c29067fe-b322-95fa-61c2-d28dc0a2bf2f"
}, {
"reference": "urn:uuid:241c0ab0-a36a-1505-c1dc-05e620cdea79"
}, {
"reference": "urn:uuid:8a4693e5-cbfc-7c79-81d1-8fa84a8486a2"
}, {
"reference": "urn:uuid:00dd072a-bb1d-4d7b-58d3-d841086f2c6b"
}, {
"reference": "urn:uuid:9c3695b5-1e20-00aa-2b2e-1874d4a8b315"
}, {
"reference": "urn:uuid:9ac695d1-89a6-3246-945f-19194bcc20e2"
}, {
"reference": "urn:uuid:02322d83-cdf3-8e25-dd82-6666401a3715"
}, {
"reference": "urn:uuid:c2df96c6-96ee-8a93-a316-021da71a3d19"
}, {
"reference": "urn:uuid:613af839-ea68-7438-ba6b-061aad17b7db"
}, {
"reference": "urn:uuid:c2dbe51b-6150-a3ad-baf8-1ac9278a878a"
}, {
"reference": "urn:uuid:9bd32664-8fed-2d70-f09b-e0eac86a531a"
}, {
"reference": "urn:uuid:f73161f6-047a-b599-04dc-f69fa45d27ce"
}, {
"reference": "urn:uuid:4f82e56b-460d-f98a-7dfd-60ed8c746f92"
}, {
"reference": "urn:uuid:39ab5fad-543e-7096-a45d-b6cf8439352d"
}, {
"reference": "urn:uuid:2c055a2d-5253-114b-6fff-93771e46ffe7"
}, {
"reference": "urn:uuid:e3a24fab-c7fc-3e3a-33bb-70dc1507cf31"
}, {
"reference": "urn:uuid:ef4f168d-4589-06db-79f6-8b6fbf7f7b6f"
}, {
"reference": "urn:uuid:49950bdc-392e-d3c5-0a74-ee162b3e0f91"
}, {
"reference": "urn:uuid:8beeccd2-ef98-2cc7-e11a-d339d5c3d4aa"
}, {
"reference": "urn:uuid:334035aa-55f4-3145-7a60-a33f8d3ff8fc"
}, {
"reference": "urn:uuid:f493503d-2e1e-21b0-41cf-f3d98fbf3846"
}, {
"reference": "urn:uuid:0a565295-6c35-50a9-1f76-5b22d5a7f92a"
}, {
"reference": "urn:uuid:2e650bf9-ccd0-da62-71cb-219dffbc45c1"
}, {
"reference": "urn:uuid:0892bbe9-1edd-4753-1817-8d50e08c2637"
}, {
"reference": "urn:uuid:a2fe1569-2d4a-9b03-bcb4-f03093846d5d"
}, {
"reference": "urn:uuid:7f4595cc-6ada-5f86-b6fb-f70d705c3e48"
}, {
"reference": "urn:uuid:d1f3a384-a4c6-d534-3148-75573ff57db0"
}, {
"reference": "urn:uuid:e43a94a5-9f3d-7207-72d8-27a0c2bb1e91"
}, {
"reference": "urn:uuid:594416ee-18a0-fa00-482f-18f22fb3e2bd"
}, {
"reference": "urn:uuid:f67fef60-8437-336c-209a-449e86113510"
}, {
"reference": "urn:uuid:acf5b7ef-d586-ff9d-9f1c-60e0b5002a3b"
}, {
"reference": "urn:uuid:b70d8c62-1988-e370-e3d3-96a85c0bba15"
}, {
"reference": "urn:uuid:9344356b-46ec-b092-45e9-9a7e289075b9"
}, {
"reference": "urn:uuid:fd98d434-7629-f605-a515-9ddeb261d450"
}, {
"reference": "urn:uuid:599107f2-633d-e5ac-f433-84f0cbf71cf3"
}, {
"reference": "urn:uuid:6a8451fd-975c-faf0-43d5-22e58c947070"
}, {
"reference": "urn:uuid:92e7d644-d4b6-9a9d-7132-7dc19e60d6d5"
}, {
"reference": "urn:uuid:71067f47-fc45-1d72-605d-bfd24e379950"
}, {
"reference": "urn:uuid:5b5b743c-634b-48f5-9966-8333f0b0ca2c"
}, {
"reference": "urn:uuid:b21e81d2-3248-c0f8-a143-d590971ddf14"
}, {
"reference": "urn:uuid:ea89d63f-c3fa-c708-ef8e-d5c3d4fab1ae"
}, {
"reference": "urn:uuid:1f83b786-8ce5-1bc3-6485-d4e9cc9b7933"
}, {
"reference": "urn:uuid:f6eecff9-45f0-fef2-44d5-019d6a4f761b"
}, {
"reference": "urn:uuid:01841187-edaf-41a3-6bf8-dec4d6826aae"
}, {
"reference": "urn:uuid:19bce59a-82c0-100e-5cde-9655c8535bd0"
}, {
"reference": "urn:uuid:7cca5cd4-dffa-b39d-a8c5-c55f06a3a315"
}, {
"reference": "urn:uuid:dd324abd-6dd9-fd68-24ae-0c1d491e569e"
}, {
"reference": "urn:uuid:3f0d0c6a-0f8d-d006-061d-f8f1f31ba0dd"
}, {
"reference": "urn:uuid:399ca310-e1e8-8fa5-b169-3db4a566744f"
}, {
"reference": "urn:uuid:a150f94c-ea8f-7023-4cb7-19d2f89a9e7f"
}, {
"reference": "urn:uuid:816232b1-4dab-943b-558c-a5823ed39c39"
}, {
"reference": "urn:uuid:483e3ebd-5b24-348a-854a-a47c240eb338"
}, {
"reference": "urn:uuid:4406090b-c470-ef88-6b59-d6f81a00c8fe"
}, {
"reference": "urn:uuid:9b609f09-a38a-929e-a54f-1b69783fb431"
}, {
"reference": "urn:uuid:58ea5662-bae2-9639-18d6-d5bfa7f1142a"
}, {
"reference": "urn:uuid:e9ddc1f5-8704-7d1f-771b-cbd8f0b6cc87"
}, {
"reference": "urn:uuid:1a824f12-af61-5ab1-dcb0-d994626cf733"
}, {
"reference": "urn:uuid:4065a21f-798c-c642-8ce7-6294e2b5164f"
}, {
"reference": "urn:uuid:03dba362-6280-8c2c-0c17-daff803475b1"
}, {
"reference": "urn:uuid:24e0b13d-2f9a-f919-32e7-64f58ccb9960"
}, {
"reference": "urn:uuid:3bb4b298-a14a-6df3-88d5-c9cf27f71373"
}, {
"reference": "urn:uuid:23284ba9-7bb7-458e-975f-337360e89dc1"
}, {
"reference": "urn:uuid:cb24d31a-dc10-e693-5ae2-18d2be0fd84f"
}, {
"reference": "urn:uuid:d5c33d1f-582e-2ec8-bde8-803c9c319213"
}, {
"reference": "urn:uuid:65cd8d73-eb8b-1a6a-9ad4-d7533ea59646"
}, {
"reference": "urn:uuid:dca736a6-1483-7554-0105-3d65608028fb"
}, {
"reference": "urn:uuid:3b662d6a-db3d-7de9-442f-3166a8146193"
}, {
"reference": "urn:uuid:6fea19f8-a0ee-5b11-ddd5-626e1c15b7dd"
}, {
"reference": "urn:uuid:e1c0dc5c-a9cd-6550-98ed-ff14fd132c11"
}, {
"reference": "urn:uuid:c7bf6751-ef90-7ad8-19a1-353173746126"
}, {
"reference": "urn:uuid:d4d56fe6-e890-c015-460d-5f33c75df6b0"
}, {
"reference": "urn:uuid:16b416d1-4d21-8f40-52e0-6995fb161692"
}, {
"reference": "urn:uuid:f68fd6d0-4f2f-2104-e70c-5399f96b5ac0"
}, {
"reference": "urn:uuid:7e26ed15-dc09-4d7a-eb6b-e1cb299af532"
}, {
"reference": "urn:uuid:74d93b45-38d6-8879-eec5-a91711b74690"
}, {
"reference": "urn:uuid:a6b23139-d245-24e2-2de9-af4961de5a2a"
}, {
"reference": "urn:uuid:846c9aad-3dd0-8359-104c-764392683a2f"
}, {
"reference": "urn:uuid:a6c5771c-dd91-6144-123c-d61096f2a572"
}, {
"reference": "urn:uuid:db980414-05d3-99b5-0240-f4faf5958ba8"
}, {
"reference": "urn:uuid:acb2f442-6e5d-b1ef-4e8a-d23a459b3dd2"
}, {
"reference": "urn:uuid:78e2848d-119d-ba19-f33b-ee0c80b2a5ab"
}, {
"reference": "urn:uuid:aaeabcd4-dffb-77f3-d6e6-255f06a4676b"
}, {
"reference": "urn:uuid:c520ac2e-70d9-fd68-0c9c-6d8e4c1e569e"
}, {
"reference": "urn:uuid:c9729dde-ae90-3d56-68e7-993606d9083c"
}, {
"reference": "urn:uuid:a5a6195c-8338-dcbf-64ad-e1291ddca05b"
}, {
"reference": "urn:uuid:20257663-a1de-6830-b94a-440579bd0c4b"
}, {
"reference": "urn:uuid:c51e4666-4257-8873-9b32-ce4526b798bf"
}, {
"reference": "urn:uuid:5cf5bc4f-a666-b2a0-6e1e-ff052fc3d062"
}, {
"reference": "urn:uuid:1dd977ac-7caa-98b7-c7b3-51f9fb787af2"
}, {
"reference": "urn:uuid:90b16b42-73c3-0786-9a8a-10f598851ce6"
}, {
"reference": "urn:uuid:14ccc0ab-1b8f-d5e9-a82a-6a2d5d748e18"
}, {
"reference": "urn:uuid:e478c19e-ab99-2893-e101-464ec1d4f5ad"
}, {
"reference": "urn:uuid:79dc69a3-5eed-b3d4-9bf9-62f06267e6b6"
}, {
"reference": "urn:uuid:939ba18b-eda6-05c5-0d03-41f398830ebf"
}, {
"reference": "urn:uuid:a0caf77a-c9de-dea8-ccac-8a0a32b8b5c9"
}, {
"reference": "urn:uuid:4ae5a092-d464-31e3-cddf-7f99314e2109"
}, {
"reference": "urn:uuid:bb6db17c-a39d-431a-3fe3-c9a154a5fa37"
}, {
"reference": "urn:uuid:b1c55037-52f8-4d94-2386-3d6697e01fc2"
}, {
"reference": "urn:uuid:0644c930-799b-a0c9-b35f-816c9e0e12e2"
}, {
"reference": "urn:uuid:ac263cc8-0939-4222-a5bc-e579bf235168"
}, {
"reference": "urn:uuid:823d06df-e316-3df9-f535-2274c4f835cc"
}, {
"reference": "urn:uuid:2ad7e118-49a7-ee56-5159-efce9c433070"
}, {
"reference": "urn:uuid:a1d2bce1-c285-8fac-545e-a32f14676c79"
}, {
"reference": "urn:uuid:b7fd42d7-0958-c34e-ed05-90c4dfb0cf9f"
}, {
"reference": "urn:uuid:27da3d97-4778-d89c-550a-6ffc17834b9f"
}, {
"reference": "urn:uuid:0b91e7aa-ee48-b21c-ae8b-7aff66bfe548"
}, {
"reference": "urn:uuid:759a8857-0ed1-7b39-901c-10427a3668ea"
}, {
"reference": "urn:uuid:0c664aac-d898-98dd-6a56-1fbf3c335d58"
}, {
"reference": "urn:uuid:8a61bcdf-e028-57f3-3ced-a32d320a34c0"
}, {
"reference": "urn:uuid:12450a68-bafb-637d-42ae-2ab73e4f6eb7"
}, {
"reference": "urn:uuid:ccc0bfbc-f8dd-a04f-b0d5-3fcce034c543"
}, {
"reference": "urn:uuid:d615276b-fa2d-95bc-9fbf-63a793c3e739"
}, {
"reference": "urn:uuid:4f650cc5-55a4-9fa8-7290-f7dd86568d80"
}, {
"reference": "urn:uuid:7516806a-83d9-76f0-c8ee-0288ec0f7dcb"
}, {
"reference": "urn:uuid:bfff745f-7f98-317f-ddee-79deeca99654"
}, {
"reference": "urn:uuid:2cf71a6c-1d7d-df5b-b71d-c35b95a9dac3"
}, {
"reference": "urn:uuid:c50c5180-4600-cc9b-6795-523c386e037e"
}, {
"reference": "urn:uuid:e7ca302c-bcb0-30ff-b47c-bc130a0212dc"
}, {
"reference": "urn:uuid:10217b06-4c7f-dfbb-faac-2be3296e6468"
}, {
"reference": "urn:uuid:1ce850ad-95c8-f3f5-ce76-d9658325e345"
}, {
"reference": "urn:uuid:0c06a6cf-8639-2993-0ae0-c9993075079e"
}, {
"reference": "urn:uuid:02a44e26-f20c-c5bd-e194-a61dc323130e"
}, {
"reference": "urn:uuid:f7a7bcfa-555d-cc4f-055e-c9b2d4021d2a"
}, {
"reference": "urn:uuid:3d11f0b3-c660-b126-b62b-c64cbff4059e"
}, {
"reference": "urn:uuid:c0519729-3793-c31e-bf31-84c27dc1e4b4"
}, {
"reference": "urn:uuid:dadc03cd-0a97-dcd3-35cb-fcfeb76911bc"
}, {
"reference": "urn:uuid:b34394dd-0150-4c2a-a249-144a12b52148"
}, {
"reference": "urn:uuid:da4cb24b-f78a-4675-00f5-a1c42385af00"
}, {
"reference": "urn:uuid:efb2f639-9077-7d35-bc3e-0ec72e682544"
}, {
"reference": "urn:uuid:0fab4f35-9ce8-2fac-f4ea-f0b18335818d"
}, {
"reference": "urn:uuid:c01e10c0-5374-f831-b641-6d028737dba7"
}, {
"reference": "urn:uuid:c25f4ebe-60b5-0d41-3a7c-e9e0ce9380c3"
}, {
"reference": "urn:uuid:23fcf482-b0c3-8fa1-4ec2-6dcfab84710e"
}, {
"reference": "urn:uuid:2fa33115-019a-45aa-905b-356e2daefad3"
}, {
"reference": "urn:uuid:6335445e-149b-d86e-c515-f47b364c9901"
}, {
"reference": "urn:uuid:50e52346-a117-b3f9-4afd-6cf1afa30d67"
}, {
"reference": "urn:uuid:f76e66ef-91bb-bef9-54de-290cb845a3c6"
}, {
"reference": "urn:uuid:1b3a83de-0564-2b3a-2395-56fac0f45914"
}, {
"reference": "urn:uuid:e46fe19a-077f-5072-9fba-6dd19b9e3b94"
}, {
"reference": "urn:uuid:3d9e9ed1-bce5-1d2e-6979-3055b047b4b6"
}, {
"reference": "urn:uuid:a88b38bf-70fd-6a6b-acc5-4297b3348126"
}, {
"reference": "urn:uuid:96b181ba-a0ad-6e1c-93b9-a6c4880342ff"
}, {
"reference": "urn:uuid:00a2197a-147d-53cf-dd3c-5aec344310f9"
}, {
"reference": "urn:uuid:e72afdba-f6f8-8965-c596-0a0a44e2b294"
}, {
"reference": "urn:uuid:c79d41ad-5714-bacf-7bbd-5da903bb2e75"
}, {
"reference": "urn:uuid:9dcc2c53-24c9-8bfc-b957-f6dfd54696c7"
}, {
"reference": "urn:uuid:aaf6c11b-8387-113a-aa78-752f0872d987"
}, {
"reference": "urn:uuid:b692ff56-700d-6148-f356-700e4b0a717b"
}, {
"reference": "urn:uuid:b95745e6-a971-2c65-613b-e7527f0e083a"
}, {
"reference": "urn:uuid:d2fe9412-f890-1704-e25c-631c97c28193"
}, {
"reference": "urn:uuid:d2a6831b-a413-7aaf-e0e1-71fd749e4cf2"
}, {
"reference": "urn:uuid:5eaef0c5-029f-b879-4fee-54f632bf5ed5"
}, {
"reference": "urn:uuid:9630e1f4-d485-fe8e-406d-1f6c10ac7b58"
}, {
"reference": "urn:uuid:987866c0-bbd4-1eec-daf0-56bad643d446"
}, {
"reference": "urn:uuid:38dda2d3-d09d-c14f-ede8-7d4e2552d3bf"
}, {
"reference": "urn:uuid:efc6e97f-1ce2-d63e-db80-cab303302820"
}, {
"reference": "urn:uuid:7a11376c-61bc-56f4-2ca3-0588469bcee1"
}, {
"reference": "urn:uuid:62416503-cbab-fc38-5aae-25206604d60f"
}, {
"reference": "urn:uuid:d8b4068f-9ce2-d5f1-14da-8359471f1369"
}, {
"reference": "urn:uuid:71a77dbd-f7b3-0e24-03fd-5c947d7b8184"
}, {
"reference": "urn:uuid:f987f3f0-3721-a0ef-9ec6-0a0311d2218f"
}, {
"reference": "urn:uuid:987d49f6-1490-4ea6-9000-09ac9d42b935"
}, {
"reference": "urn:uuid:eab5c7b1-d7c1-5fd9-7e0a-3f6dedbf141f"
}, {
"reference": "urn:uuid:f762b717-61c3-64e3-0298-34fa1f18c0f0"
}, {
"reference": "urn:uuid:48e49ebc-fcb7-c98b-3069-6e5631ff513a"
}, {
"reference": "urn:uuid:6e19688f-40ac-b261-6ce0-67a982f719f6"
}, {
"reference": "urn:uuid:b5dbab11-9962-0874-5d3e-74a790669d6d"
}, {
"reference": "urn:uuid:1a5d1426-b5c4-e9b9-c4d5-fdaa4af43a96"
}, {
"reference": "urn:uuid:e6ce0bf3-c250-cbb3-0aae-0ec8829b3358"
}, {
"reference": "urn:uuid:0ecf8075-abb1-d8fc-fc62-dbcd4f3e02c7"
}, {
"reference": "urn:uuid:a9876e5e-e444-3ea3-4004-5ba9fd68910d"
}, {
"reference": "urn:uuid:84959be5-83ef-35fb-eba9-2f4e5b2669a3"
}, {
"reference": "urn:uuid:b91458ac-1c73-a7fd-d676-e6f10d07a472"
}, {
"reference": "urn:uuid:900f407b-4feb-8587-32cd-cd50fe44250f"
}, {
"reference": "urn:uuid:3a719e40-8094-593e-6a29-9a3bd9bded12"
}, {
"reference": "urn:uuid:6ea53d87-c53a-b63c-1464-b209bfd391fb"
}, {
"reference": "urn:uuid:f2a175dc-5dd5-2d12-ad01-f54f28499e3f"
}, {
"reference": "urn:uuid:5e9b2cae-2da6-ee6d-6047-ccb9aefb0b90"
}, {
"reference": "urn:uuid:f6a8239c-d7a6-ff7c-d900-f65a2a1d8c7d"
}, {
"reference": "urn:uuid:51c589c6-fa58-c5d2-baa5-95b80352d682"
}, {
"reference": "urn:uuid:1572694a-1d9b-a4b8-ceb9-fc7221364468"
}, {
"reference": "urn:uuid:d43f8f7b-137f-9d20-770b-46ba16260277"
}, {
"reference": "urn:uuid:3a1f3241-3461-80f4-cfd3-aac3e0892425"
}, {
"reference": "urn:uuid:14d671a2-b825-86f7-463c-2be6f6b0ff42"
}, {
"reference": "urn:uuid:be219be6-e355-62a9-55a9-9b99f59408d0"
}, {
"reference": "urn:uuid:eed6a7cc-4d3c-a7f1-954b-41999b2b4e09"
}, {
"reference": "urn:uuid:ea297bcd-69d0-c483-0068-79d6bc899043"
}, {
"reference": "urn:uuid:3daea26e-440a-492c-5ceb-e1fcf5eb94af"
}, {
"reference": "urn:uuid:e343a1b4-36df-7125-b77f-a0cf14ddc719"
}, {
"reference": "urn:uuid:0943d8a6-76bb-da05-c29a-a0482cf0720a"
}, {
"reference": "urn:uuid:005ba686-c200-5759-f985-cbf1668c1c99"
}, {
"reference": "urn:uuid:3c7c958d-b78b-9097-0eab-74da970e6bdb"
}, {
"reference": "urn:uuid:20f5136e-b8c8-21e1-6db0-8769e653a80b"
}, {
"reference": "urn:uuid:d7743b6b-e257-2515-7711-bfe730b71582"
}, {
"reference": "urn:uuid:8737cf7a-d8bc-768b-ab31-282b73e7b7fd"
}, {
"reference": "urn:uuid:3b4d1589-61b2-3a87-dd6e-c327a02d61de"
}, {
"reference": "urn:uuid:026e28f5-5e57-9f10-c71f-241cc22b22ae"
}, {
"reference": "urn:uuid:78c164f4-4f55-c7d9-f765-320857fa2734"
}, {
"reference": "urn:uuid:0eef2291-4bf8-6a55-3eb8-dea6fa2e5dc6"
}, {
"reference": "urn:uuid:d30722e1-2b28-1c44-55e5-e413b086ca01"
}, {
"reference": "urn:uuid:94533205-8dd3-95fe-0044-6e5bb59a3f29"
}, {
"reference": "urn:uuid:b8dbd616-f602-cc44-8576-79daeb50ebfc"
}, {
"reference": "urn:uuid:95c84e9d-c2fa-b9a3-6cb3-3e52f2a86cc6"
}, {
"reference": "urn:uuid:e254d508-ecc2-a7a3-f38d-673fd8457a6f"
}, {
"reference": "urn:uuid:0c5a7bfc-a290-8c7a-4baf-5df81f5a36b6"
}, {
"reference": "urn:uuid:ec3be498-3d4d-0d7e-c2c7-72acfef622b8"
}, {
"reference": "urn:uuid:cb48d384-29bd-bcae-6f11-777e31df7eb7"
}, {
"reference": "urn:uuid:d662ceb6-0119-6f7c-cff6-232e7fc33373"
}, {
"reference": "urn:uuid:811b0e43-b7a9-85c3-cc80-7554591425d0"
}, {
"reference": "urn:uuid:1931b6d3-48a3-457f-8605-104253c7ac05"
}, {
"reference": "urn:uuid:69a78558-83a6-dbae-b7c7-3d251e4a9fa3"
}, {
"reference": "urn:uuid:0a073270-c575-7334-3c58-62dd1b9845fb"
}, {
"reference": "urn:uuid:5a2f19f9-8b18-cc7f-05bb-cb02d4542b93"
}, {
"reference": "urn:uuid:7a41761c-51c1-c84e-0d37-6b8d1a9bc2c2"
}, {
"reference": "urn:uuid:deb1d38c-3447-2273-fce1-a0ee9b5283c8"
}, {
"reference": "urn:uuid:68b82be2-3985-d906-5f0f-e45765ab48d6"
}, {
"reference": "urn:uuid:6e9084ca-5a40-cae4-f742-ef5951c38a9a"
}, {
"reference": "urn:uuid:f3c8d2aa-6a83-e127-09c6-86effdd858e4"
}, {
"reference": "urn:uuid:e2ce84a8-2a95-78b9-bf3d-b0d41bd3f701"
}, {
"reference": "urn:uuid:2ffc0cba-42d0-b861-6f50-eeb5bf9a629d"
}, {
"reference": "urn:uuid:a391858f-6c7e-3a75-7be3-2820f27a4d1b"
}, {
"reference": "urn:uuid:2c97beaf-4cb4-9478-72d6-4ed1ea580cb5"
}, {
"reference": "urn:uuid:0d62102e-3d47-e3e4-217f-8e6991101336"
}, {
"reference": "urn:uuid:06e0d9df-bfcc-82a5-e9e4-12784bde8fa0"
}, {
"reference": "urn:uuid:bb1a94e8-fb40-4a7b-5522-54ccb6187a60"
}, {
"reference": "urn:uuid:e920b063-cf6b-3b25-67c4-6c9fdd9ea2b2"
}, {
"reference": "urn:uuid:fa73a0aa-c0e7-7a3a-46aa-66a10e395c3d"
}, {
"reference": "urn:uuid:cd311841-772c-1c7d-2c95-ed5f9750dfea"
}, {
"reference": "urn:uuid:1b76a812-cdc7-afa3-d4ea-e56aec0c4abc"
}, {
"reference": "urn:uuid:13dd3201-fafc-e913-b802-bf446a264fdb"
}, {
"reference": "urn:uuid:534f919f-edd1-d0bf-1306-1a425860c842"
}, {
"reference": "urn:uuid:6c63e80c-2bc1-e4ad-e41f-fe09e0077801"
}, {
"reference": "urn:uuid:5a4ed60c-2d8b-a2a0-c1e9-500ad5862781"
}, {
"reference": "urn:uuid:f66abce2-20fe-e816-2d30-b32f72e0ea63"
}, {
"reference": "urn:uuid:a6a476ee-ab78-4dc6-76bc-fb3f8c228521"
}, {
"reference": "urn:uuid:58f9c595-8362-fd07-a8f1-f1d01ddbd7c6"
}, {
"reference": "urn:uuid:619947a6-74bf-2ba5-138b-515d0e7e6097"
}, {
"reference": "urn:uuid:bd78c69f-f82f-9afd-b9bc-45caaf6603e0"
}, {
"reference": "urn:uuid:43fae71c-e219-ddb0-0559-fbebb345377b"
}, {
"reference": "urn:uuid:937c91a9-7c80-3577-a391-4083fc32a006"
}, {
"reference": "urn:uuid:b8e02082-b5e0-3493-e57a-c44096902235"
}, {
"reference": "urn:uuid:5e106b50-25dd-00ca-dd7d-7cb4fafaefcf"
}, {
"reference": "urn:uuid:ad376bf2-f3dd-2bf5-b9c5-e8431794a7a3"
}, {
"reference": "urn:uuid:6451e6f1-9bf8-b574-57cf-7a4614795a88"
}, {
"reference": "urn:uuid:7f129136-cec6-966e-d5ca-aa69728b660f"
}, {
"reference": "urn:uuid:42c3a208-73c5-3a22-8f6c-6544df0191a3"
}, {
"reference": "urn:uuid:98e79f7a-4e3b-6e30-f81e-9d322ff9184b"
}, {
"reference": "urn:uuid:9ab9317b-e098-7f25-14b8-2a0e3c5c1ce3"
}, {
"reference": "urn:uuid:fdd0a487-93ed-442a-4e93-7274e89d38c9"
}, {
"reference": "urn:uuid:b0f50a69-bd19-17ef-0581-ca5e81c299dd"
}, {
"reference": "urn:uuid:d26a89e9-1025-5eff-dac6-8f760b40f393"
}, {
"reference": "urn:uuid:7ad2e404-2195-2c9c-c1f3-69034ccf1f7d"
}, {
"reference": "urn:uuid:f61a4195-6d84-2c1c-e938-d7f59e9eb552"
}, {
"reference": "urn:uuid:97e5e7bf-477f-bd3e-b020-bbc9ae06c2ad"
}, {
"reference": "urn:uuid:568b3137-38f2-47dc-1bc3-0514e906df8a"
}, {
"reference": "urn:uuid:c7c7b0aa-5617-9fd7-ecc5-214ec588421e"
}, {
"reference": "urn:uuid:b0d3dc76-a6b9-1b2c-9648-a7f6335bacf3"
}, {
"reference": "urn:uuid:2b949c2f-16ab-af1f-eb3e-d29e2439616c"
}, {
"reference": "urn:uuid:d7d2f5de-b01c-05c6-916f-732b8ef50e11"
}, {
"reference": "urn:uuid:04962b9f-1231-4415-581f-db4b077ae18c"
}, {
"reference": "urn:uuid:e7675831-7ad2-b1c5-6710-593f03c4f8bd"
}, {
"reference": "urn:uuid:6c7fd22a-45cd-0041-e953-9ef90e746468"
}, {
"reference": "urn:uuid:56796bfb-855d-4dbf-7f42-80db7804ac8c"
}, {
"reference": "urn:uuid:ed4b219b-3d93-b3e2-49d1-9b04c70505f9"
}, {
"reference": "urn:uuid:dbb4de06-1c8d-2973-2095-ddeeff81c4fd"
}, {
"reference": "urn:uuid:463b2ba2-6547-d433-50f2-5365897a1c9b"
}, {
"reference": "urn:uuid:e8d2cee6-7f88-c6b6-6b68-ee065cc44282"
}, {
"reference": "urn:uuid:dee7a001-1586-a912-dae2-9ef584eaaa98"
}, {
"reference": "urn:uuid:e54c038f-a282-7c81-5889-33b06e28c759"
}, {
"reference": "urn:uuid:0bdb3146-26e4-1fcf-b210-aa239fa11e7f"
}, {
"reference": "urn:uuid:edadc858-8cd2-feb6-8210-6e7bc901b1ef"
}, {
"reference": "urn:uuid:0262a48e-e70d-1a7b-adc0-d5468427bffa"
}, {
"reference": "urn:uuid:5b488bac-0c4b-190c-74ea-ef18c33fd32b"
}, {
"reference": "urn:uuid:2c44f9b3-0fc5-a9de-0853-04fb7de25f19"
}, {
"reference": "urn:uuid:385ad807-772b-2c82-120f-4e1cd9af21fe"
}, {
"reference": "urn:uuid:3292561d-1fb2-7957-b5ac-a1d8c16f0973"
}, {
"reference": "urn:uuid:b2b97088-7316-eae0-995f-9c86c3576c88"
}, {
"reference": "urn:uuid:6daf1d8b-7d26-9a6b-51eb-b95213834c86"
}, {
"reference": "urn:uuid:401123e6-191a-b346-0b88-4dc79f918129"
}, {
"reference": "urn:uuid:4f0216ca-ea40-ec65-9505-56cb01a5fd6c"
}, {
"reference": "urn:uuid:882fdbb0-d458-7d8b-5b96-385d32fbe73d"
}, {
"reference": "urn:uuid:c3ff2489-a185-1fc5-d3ed-0cb4b7bc1161"
}, {
"reference": "urn:uuid:8d7dc068-9072-686b-06aa-ac462b9088a5"
}, {
"reference": "urn:uuid:6d4e8c0a-b39a-e6bc-a713-510bc99d844b"
}, {
"reference": "urn:uuid:6c3c4b89-cab4-bac7-6fe8-d365a122846a"
}, {
"reference": "urn:uuid:097213f0-cccb-5b47-1306-61c98d9d3fe2"
}, {
"reference": "urn:uuid:09176d95-4ae8-09ee-c73a-1329a8a3efe7"
}, {
"reference": "urn:uuid:2939607c-ce41-8be4-2923-104539bc411b"
}, {
"reference": "urn:uuid:8b6efeeb-ba56-185f-6e72-f7ebd43de005"
}, {
"reference": "urn:uuid:136dff10-4c95-9d98-17f0-505185532504"
}, {
"reference": "urn:uuid:088c0f7d-a7dd-c65e-a416-b366d9bbd5f2"
}, {
"reference": "urn:uuid:fd3b1403-2df2-98b8-33bf-99093d2057fb"
}, {
"reference": "urn:uuid:541e1bda-0fb5-e2e6-723f-261fe3efd0e1"
}, {
"reference": "urn:uuid:d32090b6-df7a-813c-8576-3033b174f44d"
}, {
"reference": "urn:uuid:9ac68458-813a-9e32-cb61-c4025da26d5f"
}, {
"reference": "urn:uuid:e22864db-480c-7a55-c5b2-6f600f33a551"
}, {
"reference": "urn:uuid:533238be-9beb-1fba-4adf-16b1b8ed267e"
}, {
"reference": "urn:uuid:44564337-eb66-becd-2167-7d38dc38e8bd"
}, {
"reference": "urn:uuid:7fdfd381-8c15-72e3-d2d0-4da19de069ca"
}, {
"reference": "urn:uuid:01ab092b-5f83-91e1-e207-e9028fc8693c"
}, {
"reference": "urn:uuid:4cb87909-1fb7-2f4c-df59-bb74f738bc76"
}, {
"reference": "urn:uuid:539cd100-aab6-e120-455a-b16e19b470db"
}, {
"reference": "urn:uuid:70c5be3b-cecb-727a-aaba-d77fc3c5a6b4"
}, {
"reference": "urn:uuid:9e1dcc43-d291-28c3-396f-5044066dcd1d"
}, {
"reference": "urn:uuid:366637ab-4ad1-cf60-e5ee-8ca7a4da5d60"
}, {
"reference": "urn:uuid:c9b43c5f-0f20-8c95-20e3-013536748f6a"
}, {
"reference": "urn:uuid:00f74dab-2437-5748-c93e-792b1f2a9320"
}, {
"reference": "urn:uuid:85a72e8f-409f-b634-cfdc-e6ad6460f325"
}, {
"reference": "urn:uuid:a5ea5918-92b1-940c-6e60-f6268a36d1db"
}, {
"reference": "urn:uuid:9d9d4f98-ba3c-96d9-b6fa-fb868aa07aff"
}, {
"reference": "urn:uuid:845bc417-25f7-3752-c8ef-55db6baa73d3"
}, {
"reference": "urn:uuid:2197b163-1438-c99d-84e7-e172710141e7"
}, {
"reference": "urn:uuid:1ad76a46-ed32-9e4b-3e6a-2fc6b139fcbc"
}, {
"reference": "urn:uuid:f647c042-f49e-5b52-c33e-b9108e70c32d"
}, {
"reference": "urn:uuid:02cfce2d-d4eb-fb6e-c9f8-baef8296414d"
}, {
"reference": "urn:uuid:2b4d5cf1-f631-aacc-c07c-613f410ad9cc"
}, {
"reference": "urn:uuid:b2e5d1e7-de2c-3791-709a-1def15f034fc"
}, {
"reference": "urn:uuid:03484019-9382-34ed-4c7d-73531c539981"
}, {
"reference": "urn:uuid:a6e2f505-3686-cca3-f4f5-16b72a6e91be"
}, {
"reference": "urn:uuid:2303e3af-cc47-9dbc-b27a-5be631aa233d"
}, {
"reference": "urn:uuid:b838d5a6-a87d-0e15-c0df-800f5a86016a"
}, {
"reference": "urn:uuid:fdbd8114-a9d0-fc36-0a2a-cf3375b45dfc"
}, {
"reference": "urn:uuid:2c7ae6af-4533-7ceb-a006-e5bfde2291cd"
}, {
"reference": "urn:uuid:5ba87a43-8f9b-791f-1ccc-63ac6d270742"
}, {
"reference": "urn:uuid:0192ef9c-fe4d-6786-edd3-55b78cb59a7f"
}, {
"reference": "urn:uuid:8ec5294a-9988-687b-bbd9-2b6479c4049d"
}, {
"reference": "urn:uuid:f73dba75-4ac8-5de1-e252-cd7005eabcdc"
}, {
"reference": "urn:uuid:16a4f3f9-c3d5-ea62-9ef5-a3c8cdd2dcae"
}, {
"reference": "urn:uuid:f95854b7-093f-aa8d-90f9-300030e60dae"
}, {
"reference": "urn:uuid:8a5aceb7-f149-3811-886c-f71ad105ae09"
}, {
"reference": "urn:uuid:3ead374e-545c-931e-24da-6756619e12fd"
}, {
"reference": "urn:uuid:12c7d7ea-aee8-7c58-8817-000ab26952ba"
}, {
"reference": "urn:uuid:6908c8fa-0266-aea1-3fbf-6a69952e739e"
}, {
"reference": "urn:uuid:0389c3e4-ff99-c0f6-61cb-ce36b13efa6e"
}, {
"reference": "urn:uuid:d921c542-833f-8e4a-67e2-b330ccc02fea"
}, {
"reference": "urn:uuid:8ab920e1-c9d1-a416-f380-cb43d9cb4765"
}, {
"reference": "urn:uuid:62cdb3b6-ed7c-6e19-d16a-72222ca2c50d"
}, {
"reference": "urn:uuid:765c5205-ff5a-c8cb-e36d-b6db1d49ce4a"
}, {
"reference": "urn:uuid:3a213f11-4df4-f56d-b24d-3a79d81b9e5c"
}, {
"reference": "urn:uuid:2a8395a3-8f43-e616-9013-dc280fcee3ce"
}, {
"reference": "urn:uuid:b594c754-319e-cbec-02e6-a956ee19cde3"
} ],
"recorded": "2023-09-11T01:23:18.760+02:00",
"agent": [ {
"type": {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
} ],
"text": "Author"
},
"who": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093",
"display": "Dr. Beatriz277 Gamboa193"
},
"onBehalfOf": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b4359169-6bc8-3e93-9e0c-19c6bf518e58",
"display": "HDH CORPORATION"
}
}, {
"type": {
"coding": [ {
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code": "transmitter",
"display": "Transmitter"
} ],
"text": "Transmitter"
},
"who": {
"reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999891093",
"display": "Dr. Beatriz277 Gamboa193"
},
"onBehalfOf": {
"reference": "Organization?identifier=https://github.com/synthetichealth/synthea|b4359169-6bc8-3e93-9e0c-19c6bf518e58",
"display": "HDH CORPORATION"
}
} ]
},
"request": {
"method": "POST",
"url": "Provenance"
}
} ]
}